Request for Private Works » Shire of Koorda

Full Name*

Company/Trading As

Contact Number*

Address of Works

Email (for contact and invoicing purposes)*

Mailing Address (for alternative invoicing purposes)

Preferred Date of Works (subject to equipment and staff availability). For hiring of equipment, if required for multiple dates, please note dates of hire in "Description of Works"

Description of Works*

Private Works Category

GraderDozerFront End LoaderSteel Roller
Self Propelled MT RollerTruck: 6x4Prime Mover & Tri Axle Side TipperPrime Mover & Low Loader
BobcatBroom & TractorTruck: 3 TonneExcavator
Cherry PickerStreet SweeperRide on MowerBait Layer
Tree Planter (Auto)Tree Planter (Manual)Tree Planter (Hand Held)Gravel/Wodjil
Blue MetalLabourWater from Standpipe

Do you agree with the above listed conditions. By ticking yes, you confirm agreement with conditions*

Yes