Credit Application Form

Customer/Company Name:

Nature Of Business:

Address (for invoicing):

Postcode:

Contact Name (accounts):

Telephone Number:

Fax Number:

Company Reg No.:

Date Reg'd.:

VAT No.:

Email:

Bank Name And Address:

Bank Postcode:

Account No.:

Sort Code:

Trade References (Two Please)

Trade Reference 1 Name:

Trade Reference 1 Address:

Trade Reference 1 Tel:

Trade Reference 2 Name:

Trade Reference 2 Address:

Trade Reference 2 Tel:

Monthly Credit Value Required:

We agree to conform strictly to your standard conditions of sale and agree to settle our account within 30 days of statement

Application Requested By:

Position Within Company:

Signed (print name):

Date:

Input 4 number code:
Please Verify Code

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I am aware of the Privacy Policy and consent to the collection of my data via this form in order to fulfil my contact request

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Contact Details

Address:
Skidsteer Hire Solutions
Old House Farm
Lydart
Monmouth
NP25 4RN

Tel: 01600 860 670
Mob: +44 7887 971 458
Email: hire@skidsteerhiresolutions.co.uk

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Contact Details

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