Rental application form — Waipa Cabins Ltd, builders of portable cabins for sale and rent.

Please fill out the form to apply for renting a cabin. If your application is approved we will contact you to tell you how pay the upfront costs.

The up front costs are as follows

Bond $270

Delivery $250

First weeks rent $90

Total up front cost $610

Once the up front costs have been paid we will contact you to arrange delivery.

Name

First Name

Last Name

Phone

(###)

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Length of time cabin is required

Relationship with property owner

Permission of property owner given

Yes

Name of secondary contact

First Name

Last Name

Phone number of secondary contact

(###)

###

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