Request Form
Company Details
Full trading title *
Type Of Business
Normal Trading Area
Status
Address Line 1 *
Address Line 2
Town/City *
County
Postcode *
Contact Details
Tel No. *
Mobile
Fax
Email Address *
Email Address For Invoices And Statements
Company Registration Details
Company Registration No.
VAT Registration No.
Accounts Contact
Accounts Contact Tel No.
Registered Office Address
Address Line 1
Address Line 2
Town/City
County
Postcode
Company Partners
Company Partner 1
Name
Address Line 1
Address Line 2
Town/City
County
Postcode
Company Partner 2
Name
Address Line 1
Address Line 2
Town/City
County
Postcode
Trade References
First Reference
Name *
Address Line 1
Address Line 2
Town/City
County
Postcode
Tel.No *
Second Reference
Name *
Address Line 1
Address Line 2
Town/City
County
Postcode
Tel.No *
Terms Of Payment Approved Credit Accounts Only
Accounts are due for payment no later than the end of the month following date of Invoice. Where part of an account exceeds our Credit Terms the company (Bison Plant Hire) shall deem that the total account be overdue and be entitled to demand immediate settlement of the total account.
Declaration One *
By ticking this box you agree to accept the Bison Plant terms and conditions of hire and payment
Required
Declaration Two *
I confirm that unless I supply a copy of my hired in plant insurance to the Head Office address or by email to planthire@bisonplanthire.com then I can request to be charged Damage / Loss Waiver on all hires at the current rate, further details of which can be obtained from the hire point.
Required
Existing Prospective Customer *
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