Beaumont farm, Crow drive, off Otford lane, Halstead, Sevenoaks, Kent, TN14 7EQ

www.willshermachinery.co.uk

Email: r

Office: 01959 534 890 or mobile: 07887 715 186

Credit account form

Contact information / Invoicing information
Contact name: / Contact name:
Company name: / Company name:
Company address: / Invoicing address:
Postcode: / Postcode:
Tel: / Tel:
Mobile: / Mobile:
Fax: / Fax:
Email: / Email:
General company information
Company registered No: / Vat No:
Account contact: / Company position:
Company type: (please tick all that apply)
Limited company Sole trader Partnership
Other (please specify)
If sole trader or partnership (please give home address)
Name: / Address:
Tel:
Mobile: / Postcode:
Security check (proof of id)
We will need to see two forms of proof of id from all our customers, please make sure that the proof of id given contains the address for the company or individual that is hiring the equipment. Any two from the following are the appropriate forms of id needed.
Driving license
Document confirming name and address (2 different utility bills less than 3 months old are acceptable)
Bank statement (less than 3 months old)
Warrant/id card with photograph
please note: a passport is not an acceptable form of id
Please sign and return a copy to willsher plant hire ltd with your two forms of proof of id.
The signature below represents and warrants that the party signing below is an authorized representative of the company.
I / we acknowledge Willsher plant hire ltd standard conditions of sale and that accounts that are due for payment will be settled strictly 30 days from the date of invoice. I also sign to state that Willsher plant hire ltd hire all of there equipment subject to the CPA model terms and conditions of hiring plant and that I have received a copy of these conditions.
Signed: Position:
Print name: Date: