Credit Account Application Form
Thank you for your interest in Project Power. Please complete the below form to be considered for a Credit Account. Please note that this does not guarantee a Credit Account and all applications for Credit are at the Directors Discretion. We reserve the right to contact the references given along with Credit Reference Agencies to aid our decision. All Trading is subject to our Terms and Conditions along with CPA Terms which can be found on the last pages of all Quotations provided and is also available on request. If you have any issues completing this form, please contact Rental@projectpower.co.uk or 0845 123 6101.
Applicant Details
Applicant Company/Business Name
*
Applicant Contact
*
Applicant Trading Address
*
Postcode
*
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Applicant Email Address
*
example@example.com
Organisation Type
*
PLC
Limited Company
Partnership
Sole Trader
Registered Charity
Public Sector Organisation
Other
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Limited Company Details
Limited Company Registration Number
VAT Registration Number
Registered Address (if different from above)
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Accounts Department Contact Details
Accounts Contact Name
*
Contact Job Title
Telephone Number
*
Email Address (for invoices to be sent to)
*
Email Address (for Credit Control if different to above)
Are Purchase Order Numbers Mandatory for your orders?
*
Yes
No
Please note that our Credit Terms are strictly 30 Days Net from Invoice unless otherwise agreed with your Project Power Contact - do you accept these terms?
*
Yes
No
Other
Amount of Credit Requested
Payment Run Date
*
Please upload a copy of your Hired In Plant Insurance
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Credit References
Please provide 2 Credit References who we can contact in order to open your account.
Reference 1 Name
*
Reference 1 Company
*
Reference 1 Address
*
Reference 1 Phone Number
*
Reference 1 Email Address
*
Reference 2 Name
Reference 2 Company
Reference 2 Address
Reference 2 Phone Number
Reference 2 Email Address
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Signature and Declaration
By completing this form you are confirming that you agree to our Standard Terms of Business and Credit Terms. Once submitted, our Accounts Team will be in contact with your Account Opening Details.
Signature
*
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Should be Empty: