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PacLease Laverton Rental Application

PacLease Truck Rental Application

Contact Information

Business Address
Business Address
City
State/Province
Zip/Postal
Postal Address
Postal Address
City
State/Province
Zip/Postal
Country

If PTY. or LTD. company, complete this section

Trust and Trustee Details (if Applicable)

Is the Applicant a Trustee for Any Trust

Are You a Sole Trader, Partnership or Company?*

Contact Details of Sole Trader or of each Partner or each Director:

Name
Name
First
Last
Name
Name
First
Last
Name
Name
First
Last

Business Details

Make: Kenworth

Model: T610

Engine: Cummins X15

Transmission: Eaton FO-22E318B-MXP UltraShift Plus

Front Axle: DANA SPICER E-1462I

Rear Axle: DANA SPICER D46-170

Suspension: AIRGLIDE 460

Cab: Day Cab

CLICK HERE TO VIEW OFFICAL KENWORTH PAGE FOR THIS MODEL

CLICK HERE TO VIEW OFFICAL KENWORTH PAGE FOR THIS MODEL