Create a Trade Account | Tool Hire in Bristol, Bath & Keynsham

Contact - Proprietors or Directors

Repeater

Name *

Telephone *

Email *

Add another Remove

Contact - Accounts Payable

Name *

Job Title *

Telephone *

Email *

Email for Invoice and Statements *

Contact - Person Responsible for Hiring

Person Responsible for hiring plant/tools *

Job Title *

Telephone *

Email *

Insurance

Have you Hired-In Equipment/Plant Insurance?

Limit of Indemnity (1 item)

Limit of Indemnity (1 Occurrence)

Insurer

Policy Number

Policy Excess

Expiry Date

Continuing hire charges included?

All Risks cover anywhere in UK?

Please include copy of insurance certificate if held

File Upload

Maximum upload size: 89.13MB

Bank Details

Bank Name *

Name on Account *

Address *

Postcode *

Account Number *

Sort Code *

Trade Reference 1

Name *

Address *

Postcode *

Telephone *

Contact Name *

Trade Reference 2

Name *

Address *

Postcode *

Telephone *

Contact Name *

Permission Required *

I confirm that I have authority/permission of the Company Proprietors and/or Directors to apply for credit on behalf of Company listed above. *

In processing your application for credit facilities we make enquiries of credit reference agencies and other third parties who may record those enquiries. We may also disclose information about the conduct of your account to credit reference agencies and other third parties. The information obtained from or provided to credit reference agencies or other third parties may be used when accessing further applications for credit terms, for debt collection, for tracing and for fraud prevention. I/We, the undersigned hereby confirm that if credit facilities are approved as per your normal monthly terms of 30 days. I/We hereby agree to current terms & conditions (which are subject to update & change). Current HAE & PSE terms & conditions are available to download at www.alidehire.co.uk/documents/

Declaration *

I confirm that the above statement is true and the details I have entered are correct. *

Application for Credit Facilities

Company Information

Contact - Proprietors or Directors

Repeater

Contact - Accounts Payable

Contact - Person Responsible for Hiring

Insurance

Please include copy of insurance certificate if held

Bank Details

Trade Reference 1

Trade Reference 2