Apply for an account 1 Contact info2 Business info3 Trade references4 Bank info Contact infoCompany name*Company phone number*Street addressCity*Postal Code*Email* Business infoBusiness Structure*PLCLTDPartnershipSole TraderOtherName and addresses of Proprietors or Directors*Name and addresses of Proprietor or Director (2)Director Email* Director Email (2) Buyer Name*Buyer Phone*Buyer Email* Accounts Contact*Accounts Phone*Accounts Email* Trade References1. Reference Company Name*Reference Contact Name*Reference Company Address*Reference Phone*Reference Email* 2. Reference Company NameReference Contact NameReference Company AddressReference PhoneReference Email Amount of Credit Required (GBP)*Are official order numbers required*YesNoCan you Accept Email Invoices?*YesNoIf "yes", Email Address to be used Do you have Hired In Plant Insurance?YesNoIf "yes", place attach a PDF copy of your Hired In Plant Insurance belowAccepted file types: pdf.If you do not have Hired in Plant Insurance you will automatically opt into NHS Protect Waiver Scheme at a cost of 20% of the Hire Charges by signing this account form. Bank infoCompany Registration Number*Vat NumberBank*Sort Code*Account Number*Bank Address*Bank Postcode*The information given above is guaranteed true and The Applicant authorises the release of all pertinent information necessary for processing The Applicant’s request for credit, The Applicant(s) agrees to pay all money due promptly in accordance with the payment terms indicated on National Hire Solutions invoices and agree to our Terms & Conditions. Should the Applicant default on these terms and legal action become necessary, The Applicant agrees to pay all collection expenses including administrative costs and legal fees. ALL OVERDUE ACCOUNTS WILL BE PUT ON HOLD AUTOMATICALLY. Future orders may then be subject to restrictions. All goods remain the property of National Hire Solutions Limited until paid for in full. I understand that by submitting this form without attaching a copy of Hire in Plant Insurance I will be opting into the NHS Protect Waiver Scheme.* National Hire Solutions is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you: I agree to receive other communications from National Hire Solutions. You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy. By clicking submit below, you consent to allow National Hire Solutions to store and process the personal information submitted above to provide you the content requested. Hired In Plant Insurance* I understand that by submitting this form without attaching a copy of Hired In Plant Insurance I will be opting into the National Hire Solutions Protect Waiver Scheme.National Hire Solutions is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:National Hire Solutions I agree to receive other communications from National Hire Solutions..You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy. By clicking submit below, you consent to allow National Hire Solutions to store and process the personal information submitted above to provide you the content requested.