Account Application Form

If you would like to open an account with us, please complete and submit this form online.

Alternatively, you can download and print the form here to complete later

Credit Application Form
Your Company Details
Company Name:*
Company Reg. No.:*
Address:*

Street Address

City

County

Postcode
Telephone:*
Fax:
Your Requested Credit Limit:*
Your Name:*

Trade Reference 1
Trade Reference Name:
Trade Ref Address:*

Street Address

City

County

Postcode
Telephone:*
Email:
Trade Reference 2
Trade Reference Name:
Trade Ref Address:*

Street Address

City

County

Postcode
Tel:*
Email:*

*
- Hird may wish to use this information above to inform you of future promotions. The data will not be shared with any organisation that is not associated with Hird. Please tick this box if you do not wish to receive news of future promotions
Damage Waiver
If you have your own hired-in plant insurance then please indicate below, please note that if you select this option we require a copy of your hired-in plant insurance policy to be sent with the return of completed form.
- I have my own Hired-in Plant insurance
Proof of Hired-in Plant Insurance*
Drop files here or
If you do not provide details of your insurance our damage waiver will automatically apply and you will be subject to an damage waiver fee per hire contract.
A £1000 excess applies in the event of any claim.
Disclaimer
This office utilises a third party credit reference agency for credit assessment purposes. In submitting a request for this office to open a credit account, you are hereby providing us with your consent to carry out any credit reference searches that we deem necessary to support your application.

These searches will be taken for credit information purposes only and may be carried out on both your company and its principals.

The credit reference agency may also keep a record of our enquiry, and share that information with other businesses that may also make enquires about the company and its principals.

This does not affect your statutory rights. You are also agreeing to abide by the Terms and Conditions of the Company. Our payment terms are strictly net monthly..
Terms & Conditions
Please read the Terms & Conditions
*
- By signing this I confirm I that I have read and accept the CPA Model Terms and Conditions of hire (July 2011), Hire insurance / damage waiver conditions as detailed on this account application form
Name*
Date*
Signature*
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Account Application Form

If you would like to open an account with us, please complete and submit this form online.

Your Company Details

Accounts Contact

Trade Reference 1

Trade Reference 2

Damage Waiver

Disclaimer

Terms & Conditions

Step 1 of 4

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