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Trading Name*

Trading Address

Address 1*

Address 2*

Address 3*

Address 4

Postcode*

Telephone Number*

Fax Number

Registered Office*

Registered Number*

VAT Number*

Type of Company*

No. Years Trading*

Accounts Contact Name*

Accounts Email Address*

Name of Bank*

Address*

Telephone Number*

Fax Number

Account Number*

Sort Code*

By signing this agreement you declare that:

You have read and understood our terms and conditions. The information given by you when applying for this account is correct and we may rely upon it. Failure to adhere to the above conditions will result in closure of your account, and my equipment on hire will be collected immediately from your offices or from site.

Signed for and on behalf of:

Trading Name*

Position*

Print Name*

Date*

I agree to the terms and conditions of rental

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