Hire Booking Form

Billing Details

The following information supports your application to book with Halogen DJ Company (hereby referred to as the “Firm” in this document).

Company

First Name *

Middle Name

Last Name *

Street Address *

Suburb *

State *

Postcode *

Country *

Date Of Birth *

Tel No. *

Alt No. *

e.g. work, family or friend

Email *

Confirm Email *

How Did You Find Us? *

ie. Google, Friend Referral, etc.

What Did You Type In? *

ie. DJ hire, Speaker hire, etc.

Firm Delivery Details – Additional Cost

If you require the Firm to deliver your hire, please ensure that you have obtained a direct quote from one of our customer consultants and quote it in this form.

Venue

if a residential property (please enter HOUSE)

Manager

Address

Suburb

State

Postcode

Country

Tel No.

Confirm Email

Firm Pick Up Details – Additional Cost

If you require the Firm to pick up your hire, please ensure that you have obtained a direct quote from one of our customer consultants and quote it in this form.

Venue

if a residential property (please enter HOUSE)

Manager

Address

Suburb

State

Postcode

Country

Tel No.

Confirm Email

Hire Details

Hire orders are for a single day period. Any additional days incur further costs.

Hire Date *

Return Date *

Identification Details

(You submit the following uploaded documents as evidence of your identity) All images must be clearly visible, and driver’s licenses and other cards must have back and front uploaded. All IDs must be current and within their expiry date. We do not accept international ID. This is to verify your identity so that no one can book on your behalf, to confirm that the identification details provided are not from a fraudulent card, and can be used for other applications as outlined in the Terms and Conditions. All ID provided must belong to the booking applicant. All ID must be supplied, regardless of the size of the hire.

Driver's Licence Or Proof Of Age Card – Front *

Click or drag a file to this area to upload.

Driver's Licence Or Proof Of Age Card – Back *

Click or drag a file to this area to upload.

Bank Statement – Must Be From The Last 3 Months *

Click or drag a file to this area to upload.

The amount does not need to be provided.

Utility Bill From The Last 3 Months *

Click or drag a file to this area to upload.

e.g. gas, electricity, water, phone and internet

Client Pick Up / Return Details

Please select the desired location for the hire collection.

Which Location? *

Credit Card Details

(You submit the following uploaded documents) All images must be clearly visible, credit card must have the back and front uploaded. The credit card must be current and within its’ expiry date and must belong to the booking applicant, to ensure that the details provided are not from a fraudulent card, and can be used for other applications as outlined in the Terms and Conditions.

Institute *

i.e. banks, credit unions

Branch *

i.e. location of branch

Card Holder *

Card Type *

Card No. *

Expiry *

CVV No. *

Located at rear of card

Credit Card – Front *

Click or drag a file to this area to upload.

Credit Card – Back *

Click or drag a file to this area to upload.

Bank Details

These details are collected for the return of the security bond, and can be used for other applications as outlined in the Terms and Conditions.

Institution *

e.g. banks, credit unions

Account Name *

BSB No. *

Account No. *

Further Options – Additional Cost

If you require the Firm to set up or pack down your hire, please ensure that you have obtained a direct quote from one of our customer consultants.

Delivery *

Pickup *

Set Up *

Pack Down *

Total Amount *

Bond Amount (CASH ONLY) *

Ensure to obtain a quote.

Instructions

Please ensure to itemise all equipment hired and if there is any other additional infomation we may need.

I agree to the bond amount.

I agree to the Terms and Conditions.

Please read our terms and conditions.

I understand that I am making a booking and entering into a written contract with Halogen DJ Company.

Hire Booking Form

Billing Details

Firm Delivery Details – Additional Cost

Firm Pick Up Details – Additional Cost

Hire Details

Identification Details

Client Pick Up / Return Details

Credit Card Details

Bank Details

Further Options – Additional Cost

PLEASE ALLOW UP TO 3 MINUTES FOR THIS FORM TO SUBMIT