Application for Credit Facilities

Fields marked with * are mandatory

Create Account

Company Information

Contact - Proprietors or Directors


Contact - Accounts Payable

Contact - Person Responsible for Hiring


Please include copy of insurance certificate if held
Maximum upload size: 89.13MB

Bank Details

Trade Reference 1

Trade Reference 2

Permission Required *

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 *