Credit account form - GP Site Solutions

Step 1 of 7

14%

This field is for validation purposes and should be left unchanged.

Company details

Company name(Required)

General phone number(Required)

General fax number

Nature of business(Required)

Annual turnover (£)(Required)

Number of employees(Required)

Estimated monthly spend(Required)

Where did you hear about us?(Required)

Company address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Where did you hear about us (other)?

Account details

Contact Name

Email address

Phone number

Fax number

Buyer details

Contact Name

Email address

Phone number

Fax number

Banking Details

Payment method(Required)

Cheque

BACS

Bank name(Required)

Account number(Required)

Sortcode(Required)

Invoice details

Invoice address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Do you require order numbers on invoices?(Required)

Yes

Do you require our invoices by a particular date in order to meet our payment terms?(Required)

Yes

Day

Please enter a number from 1 to 31.

How would you like to receive your invoice?(Required)

Post

Insurance information

Broker name(Required)

Broker contact

Broker email address(Required)

Broker phone number(Required)

Broker fax number

Please provide a copy of the insurance certificate for:(Required)

Hired in plant insurance / contractors all risk insurance

If driving vehicles or plant on public highways, please provide a copy of the insurance certificate for :(Required)

Comprehensive road risk insurance

Insurance certificate(Required)

Max. file size: 512 MB.

Authorisation(Required)

By completing this form, I accept that we authorise GP Site Solutions Limited to approach our insurers / insurance brokers to obtain required insurance information relating to the hire by us of plant / vehicles. We are also aware of our legal responsibilities that if any item of road registered plant is hired for in excess of 14 days that it is our responsibility to ensure that the Motor Insurer’s Database (MID) is advised accordingly.

Hire Goods & Service

We hereby request the company to provide good and/or services subject to company’s conditions of business including those listed below.

ALL PLANT HIRED UNDER CONSTRUCTION PLANT HIRE ASSOCIATION CONDITIONS (CPA JULY 2011). THESE TERMS AND CONDITIONS WILL APPLY IN PREFERENCE TO AND SUPERCEDE ANY TERMS AND CONDITIONS REFERRED TO, OFFERED OR RELIED ON BY THE HIRER. CLAUSE 21 APPLIES FOR ALL WEEKLY HIRES.
FULL TERMS AVAILABLE FROM OUR HEAD OFFICE UPON REQUEST.
PUNCTURES AND TYRE DAMAGE IS THE RESPONSIBILITY OF HIRER.
ALL DAMAGES ARE CHARGEABLE TO HIRER.
HIRER TO INSURE COMPREHENSIVELY AGAINST THIRD PARTY LOSS AND ALL OTHER RISKS.
HIRER IS RESPONSIBLE FOR HEALTH AND SAFETY WEEKLY INSPECTIONS.
GREEN POWER PLANT HIRE LTD OPERATE A STRICT CREDIT LIMIT WITH ALL ITS CUSTOMERS. IF YOU EXCEED YOUR LIMIT AT ANYTIME YOU AGREE TO PAY SUFFICIENT FUNDS TO BRING YOUR
ACCOUNT BALANCE BELOW YOUR CREDIT LIMIT. WE RESERVE THE RIGHT TO WITHDRAW CREDIT FACILITIES IF THESE TERMS ARE NOT ADHERED TO.
IF YOU DO NOT EXCEED YOUR CREDIT LIMIT OUR CREDIT TERMS ARE STRICTLY 30 DAYS NET END OF MONTH.
QUERIES TO BE NOTIFIED TO HEAD OFFICE WITHIN TEN DAYS FROM DATE OF INVOICE.
IFANY ITEM OF ROAD REGISTERED PLANT IS HIRED FOR IN EXCESS OF 14 DAYS IT IS THE CUSTOMERS RESPONSIBILITY TO ENSURE THAT THE MOTOR INSURER’S DATABASE (MID) IS ADVISED ACCORDINGLY

Declaration Signature(Required)

Declaration(Required)

This application is to be submitted by the director of a company only. It may be the case that the credit facility may only be granted if a personal guarantee is entered into. If this is the case, we will advise you separately. By submitting this document, you are binding your company to GP Site Solutions Limited and conditions.

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