Please submit this form no later than 2pm on the day prior to your staff needs.
We will contact you by your preferred phone number as advised below to confirm your order.

ACCOUNTING INFORMATION

Company Name

Name of Person Placing This Order
What is the name of the person in Accounts Payable?
Company Postal Address
Company Address
Phone Number
Fax Number
Accounts Email Address
Please advise how you would like to receive this invoice.
 
     
SITE INFORMATION
Site Number and Street Name
Town
Post Code
Contacts Name at Site
Contacts Position
Contacts Phone Number
 
     
Total Number of Casual Staff Required

 
     
STAFF INFORMATION
Please advise what date/s this order allpies to.
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7

 
     
Is a Drivers Licence and Car Required to Travel To This Site? Yes No
 
     
Manual Labourers Required (Grade 1)
Start Time
Expected Finishing Time
 
     
General Forklift Drivers Required (Grade 2)
Start Time
Expected Finishing Time
 
     
Highreach, Double Deep Forklift Drivers Required (Grade 3)
Start Time
Expected Finishing Time
 
     
Other Grade 1 staff required.
Please Advise What Staff You Need and How Many
Start Time
Expected Finishing Time
 
     
Other Grade 2 staff required.
Please Advise What Staff You Need and How Many
Start Time
Expected Finishing Time
 
     
Other Grade 3 staff required.
Please Advise What Staff You Need and How Many
Start Time
Expected Finishing Time
 
     
Do you have any special instructions, requirements or requests?

 
     
CONFIRMATION
If you would like a copy of this order, what is the Email address would you like it to go to? Complete Email Address Only. EG
Who do we confirm this order with?
Preferred Confirmation Phone Number