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Please complete all the information requested in the following form.
By submitting this form the applicant agrees to authorise Cosy Cabin Rentals Ltd to verify applicants details.

Cosy Cabin Rentals Ltd require Date of Birth information for cabin registration on the "Personal Properties Security Register" and references from two contact people.

On receipt of the completed information we will provide a quote detailing the process for the rental of the cabin plus availability.

If you have any questions before submitting form please contact us.
(*) - implies required information to complete application.
Information regarding data that needs to be entered in the field can be accessed by mousing over data entry area.

Cabin Hirer's details:

Current phone number:(*)
Please provide a valid phone number.

Mobile contact number:
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Billing Address:(*)
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Email address:(*)
Please provide a valid email address.

Date of Birth:
dd/mm/yyyy(*)
Please provide your date of birth.

ID Type:(*)
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ID Number:(*)
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Vehicle registration number:(*)
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Cabin rental details:

Site address for cabin delivery:(*)
Please provide full address for where cabin is to be delivered.

Type of Cabin:(*)
Please select type of cabin to be rented.

Date Cabin required:
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Number of months required:(*)
Provide rental period required. Minimum is 6 months.

Cabin site please provide a description of the site where cabin is to be located and what form of access is available to the site:(*)
Please provide a description of the site.

Toilet type:
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(^)Depends upon availability and option only available for Kestrel or Norfolk cabins

Water supply type:(*)
What water supply is available?

(^)Let us know if the cabin will be on tank or mains water supply.

Property status:(*)
Please state if the property cabin to be placed on is rented or owned by cabin hiree.

Employer details:

Employer name:(*)
Please provide your employers name.

Employer contact phone number:(*)
please provide your employers contact phone number.

Next of Kin details:

(maybe contacted to verify details)
Full name:(*)
Please provide a next of kin name.

Phone number:(*)
Please provide a phone number for next of kin.

Current address:(*)
Please provide a next of kin address.

Referee details:

(maybe contacted to verify details)
Full name:(*)
Please provide a next of kin name.

Phone number:(*)
Please provide a phone number for next of kin.

Current address:(*)
Please provide a next of kin address.

Read and agreed to Terms and Conditions:(*)
You must agree to Terms and Conditions to enter a Cabin rental agreement.


Click to View our Terms and Conditions
(^)You can not submit the rental details until you have agreed to our terms and conditions.

Confirm you are not a spambot:(*)
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Cosy Cabin Rentals

0800 COSY CABINS
0800 267 922

021 767 563

PO Box 524
Warkworth
New Zealand 0941