Please complete all the information requested in the following form.
By submitting this form Applicant agrees to authorise Cabins to Rent - Northland Ltd to research applicants credit rating.

Date of Birth information is required so Cabins to Rent- Northland Ltd can register the rental cabin on the "Personal Properties Security Register".
Next of Kin details required to verify submitted details.
Two contact people are required to provide references for the applicant.

Once we have received the completed information we will process information onto a lease agreement and forward a copy for you to sign and return and contact you regarding cabin availablity.

Note: A $100 deposit is required when signed contract submitted to hold rental cabin for delivery.

If you have any questions before submitting form please contact us.

 
Applications details:
Applicants full name: *
Current Phone number: * digits only and no spaces
Mobile number:
Current Address: *
Type of Cabin:
*
Date of birth : * ( dd/mm/yy )
ID type: * /*1
ID number: *
Vehicle registration number: *
Email address: *
Bank
Rental details
Date cabin required: *( dd/mm/yy )
Months required: * /*2
Delivery address: *
Next of Kin details (may be contacted to verify details):
Full name:
Phone Number: digits only and no spaces
Current Address:
Referee details (will be contacted for reference check):
Reference 1 / Full name: *
Phone Number: * digits only and no spaces
Current Address: *
Site Information:
*please provide a brief description of the site for cabin and it's access, so we can determine transport requirements.
  * required fields.
*1 NZ Drivers Licence / NZ Passport / or similar.
*2 Minimum rental 3 months.