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TYPE OF BUSINESS (please tick one)
Limited CompanySole Trader/PartnershipOther
Company/Business Name:
Nature of Business:
Full Trading Address:
Postcode:
Telephone:
Email Address:
Website Address:
Company Registration Number:
VAT Number:
Credit Required:
Estimated Annual Spend on Platforms:
Contact Name (Accounts):
Contact Email (Accounts):
Contact Name (Buying):
Contact Email (Buying):
PLEASE PROVIDE THE NAMES & ADDRESSES OF 2 TRADE REFEREES:
Name
Address
Telephone
Period Known
I/we (the applicants) understand that velocity Platforms hire under strict C.P.A (Construction Plant-Hire Association) terms and conditions July 2011 and agree to be bound by them. I/we agree to the standard payment terms (unless otherwise agreed in writing by a Velocity Platforms director) of 30 days from date of invoice and accept if the accounts are not paid within the aforementioned period Velocity Platforms reserve the right, without prejudice to any other remedies, to recover the goods when any sum remains unpaid.
Signature:
Print Name:
Position:
Date:
INSURANCE DETAILS: Under the CPA terms and conditions it is the hirer’s responsibility to insure equipment for damage and loss whilst on hire. Please supply the following details of your Hired In Plant Insurance:
Name of Insurer:
Policy Reference:
Model Conditions For The Hiring Of Plant
Velocity Safe Cover Plan
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