Trailer Hire Account - John Hudson Trailers

Company Details

Are you a limited / Non-Limited Company?

LimitedNon-Limited

Company Name*:

Company Address*:

Postcode*:

Company Registration Number*:

VAT Number*:

Insurance and operator’s license

Insurer*:

Policy Number*:

Operators License*:

Contact Details

Director/Owner

Name*:

Phone:

Mobile*:

Email*:

Director/Owner's Date of Birth*:

Director/Owner's Home address*:

Transport Manager

Name*:

Phone:

Mobile*:

Email*:

Accounts

Name*:

Phone:

Mobile*:

Email*:

Trade References

Reference 1

Company*:

Contact*:

Phone*:

Email*:

Reference 2

Company*:

Contact*:

Phone*:

Email*:

Order Numbers

Will you provide an order Number?

NoYes

Email contact for order number queries*:

Credit Terms

Payment in month following invoice date.

Director or Owners Signature

Name*:

Email*:(Confirmation of your application will be sent to this email address)

I have read and agree to the Terms & Conditions of Hire
I have read and agree to the Privacy Policy

Once you have submitted the account application from you will be sent the direct debit form via email along with your confirmation of your application.
YOU NEED TO COMPLETE THE DIRECT DEBIT FORM to finalise your trade account.