Account Application Form

Full Trading Name*

Full Trading Address*

Email Address*

Registered Office*

How long have you been trading?*

Company Registration Number*

Principle Activity of Business*

Do You Require An Order Number To Be Quoted On Invoices?*

Name Of Person Responsible For Payment Of Accounts*

Phone Number*

Name of Bank*

Address of Bank*

Bank Account Number*

Bank Sort Code*

Trade Reference Name*

Trade Reference Address*

Have You Ever Been Refused Credit?*

Are You Insured For Hired In Plant?*

Name*

Position*

Today's Date*

Date

Linden Plant Hire operates under CPA terms and conditions when on hire the machine is the hirers responsibility

Confirmation

I confirm that these details are used for the purposes of addressing the issue and correspondence.