QUIRKS AUSTRALIA PTY LIMITED A.B.N. 81 109 670 948

Plain English

Rental Agreement

HEAD OFFICE:198 POWER STREET

GLENDENNING NSW 2761PHONE: (02) 8805 2500FAX: (02) 8805 2540TOLL FREE: 1800 804 627

FINFM0050 Issue 1.1 – 31 Oct 07

STATE BRANCHES:• NEW SOUTH WALES

• QUEENSLAND

• VICTORIA

• SOUTH AUSTRALIA

• WESTERN AUSTRALIA

BRANCHES:• COFFS HARBOUR

• LISMORE

• NEWCASTLE

• PORT MACQUARIE

• TAMWORTH

• MOREE

• NARRABRI

AU00833

Quirks Australia Pty Limited Rental Agreement

Account No.

Contract No. Short Term Long

Term Tax Invoice A.B.N. 81 109 670 948

RENTERS DETAILS Renter of Equipment ABN

Registered Address State Post Code

Phone No. Fax No. Email

Contact Name Mobile

EQUIPMENT DETAILS

Make Model Description Serial Number Asset Number Replacement Value

EQUIPMENT LOCATION The equipment must not be moved from this location Business Name

Address State Post Code

Contact Name Phone No.

RENT PAYMENTS

Interval: Monthly Term: 0 Months/Weeks 1st Direct Debit / /

Rental Other Sub-Total GST Stamp Duty FID GST on S/D, FID where applicable

Total Amount Payable

This schedule will constitute a valid tax invoice for rent payments on the date of payment. INITIAL PAYMENT (all items include GST) Acceptance of this payment does not constitute acceptance of this agreement by Quirks Australia Pty Ltd

Delivery $ Pick Up $ 1st Rent Payment $ Total $ Deposit $

ACCEPTANCE OF RENTER By signing this agreement you agree to be bound by it

Signed by Witness Signature

Name Name

Title

ACCEPTANCE BY QUIRKS AUSTRALIA PTY LTD

Only by signing this agreement do we agree to be bound by it Accepted on the __________________________ day of __________________ 20____ (Commencement date) Authorised Person ______________________________ In the state of ________________________________

GUARANTOR’S DECLARATION

We request Quirks Australia Pty Ltd to supply goods and services from time to time to the renter and in consideration of that I/we jointly and severally guarantee to Quirks Australia due payments by the renter and all obligations arising from the supply of those goods and services. In the event of any default by the renter, I/we shall be deemed to become the principal debtor(s) to Quirks Australia Pty Ltd and the Guarantee shall bind my/our personal representative. Name [ ] Director [ ] Partner [ ] Proprietor

Signature Date

Witness Name

Witness Signature Date

Name [ ] Director [ ] Partner [ ] Proprietor

Signature Date

Witness Name

Witness Signature Date

RENTERS DETAILS

Company Name

Trading Name

Nature of Business Years Established

A.B.N. Type of Entity (Coy/Part/Sole Trader)

Accountant

Contact No. Phone No.

DIRECTORS / PARTNERS / PROPRIETORS DETAILS

Surname Given Name Date of Birth

Res. Address Post Code

Home Phone Mobile No. Drivers Lic. No.

Surname Given Name Date of Birth

Res. Address Post Code

Home Phone Mobile No. Drivers Lic. No.

Trade/Credit Ref. 1 Phone:

Trade/Credit Ref. 2 Phone:

OFFICE USE ONLY

Account No. Credit Terms Credit Limit ($) Warehouse Sales Rep. Territory Terms Customer Type Industry Code Marketing Flag Customer Flag Price Code Delivery Code Master Account Billing Control Mailing Control Industry Sub-Group

PRIVACY CONSENT FORM

) PRIVACY CONSENT FORM (continued)

You acknowledge that you have read and understood the authorisations and consents which you have given in this document.

Name of Applicant Signature Date

Name of Applicant Signature Date

Name of Guarantor Signature Date

Name of Guarantor Signature Date

) CUSTOMER DDR SERVICE AGREEMENT

DIRECT DEBIT REQUEST

I/We request you, Quirks Australia Pty Ltd. ABN 81 109 670 948, User ID No. 089854, to arrange for funds to be debited monthly from my/our nominated account at the financial institution shown below according to the schedule specified below or in accordance with Rental Agreement Contract No. …………….., dated …../……/20…..

Name

Address

Suburb State Post Code

Financial Institution

Account Name

BSB Number -

Account Number

Signature Signature

(If debiting from a joint bank account both signatures are required)

Date PAYMENT $

TERMS OF THE RENTAL AGREEMENT

TERMS OF THE RENTAL AGREEMENT (continued)