Application for a Credit Account with
Specialist Hires Ltd, Lydd Yard, Mill Lane, Aldington, Ashford, Kent, TN25 7AL
Company Details
Company Name
*
Trading Address
*
Street Address
Street Address Line 2
City
County
Post Code
Email
*
example@example.com
Website
Invoicing Email (if different)
example@example.com
Phone Number
*
-
Area Code
Phone Number
Fax Number
-
Area Code
Fax Number
Nature of Business
*
Company No
*
Registered Office
*
Directors/Partners
*
Trade Reference 1
Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Fax Number
-
Area Code
Fax Number
Trade Reference 2
Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Fax Number
-
Area Code
Fax Number
Amount of monthly credit requested
*
Declaration
By e-signing you accept Specialist Hires Ltd conditions of hire and sale and payment terms of Net 30 days
Name
*
First Name
Last Name
Postition
*
Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Signature
*
Letterheaded paper
*
Browse Files
Drag and drop files here
Choose a file
Upload a PDF or scan of your letterheaded paper
Cancel
of
Save
Continue
Continue
Envirogard is a registered trading name of Specialist Hires Ltd, Registered in England No. 2347451 Registered Office: Lydd Yard, Mill Lane, Aldington, Ashford, Kent, TN25 7AL
Should be Empty: