Account Opening Form - Lakeside-Hire

General Details

Trading name *

Business Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Main Phone Number *

What type of company are you? *

LTD or PLC
Partnership or Sole Trader

Is your Company Registered name different from your trading name? *

Yes
No

Company Registered Name *

Company Registration Number *

Date That Your Company Started Trading *

Date of incorporation *

Save and Resume Later

Personnel

This helps us to approve your application faster, and identify those authorised to use this account when in use

Add your directors:

Directors Name *

First

Last

Directors Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Add anyone you'd like to authorise to place orders:

Name *

First

Last

Position in company *

Contact Phone *

Email *

Add any company owners:

Owners Name *

First

Last

Owners Date of Birth *

Owners Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

If you'd like to add any more people later, just drop us an email at hire@lakeside-hire.co.uk after you've completed this form.

Save and Resume Later

Accounting Details

Do you have hired-in plant insurance?

Yes, we do
No, we don't
I'm not sure

What email address should we send invoices to? *

Do you require purchase order numbers on your invoices? *

Yes
No

Purchase order format

Requested Credit Limit (£)

Name of person authorised to make payments *

First

Last

Phone Number of person authorised to make payments *

Email of person authorised to make payments *

Bank Name *

✔︎ We use this to identify payments received and make refunds where necessary

Sort Code *

Account Number *

Save and Resume Later

Finish & Sign!

Are you a director, partner or proprietor of this company? *

Yes
No

It's not a problem if you aren't

Checkboxes *

I have received permission to fill out and sign this form by someone with relevant authority in this company (E.g. Owner/Partners/Director/Manager) *

Consent to credit checks and terms of service

In processing your application for credit facilities we make enquiries of credit reference agencies and other third parties who may record those enquiries. We may also disclose information about the conduct of your account to credit reference agencies and other third parties. The information obtained from or provided to credit reference agencies or other third parties may be used when assessing further applications for credit terms, for debt collection, for tracing and for fraud prevention. I, the undersigned hereby confirm that if credit facilities are approved the account will be paid as per your normal monthly terms.

Checkboxes *

By signing this form, I consent to these credit checks *

Consent to Conditions for Hire and Sale of Goods to Account Consumers and Businesses

Click here to read the Conditions for Hire and Sale of Goods to Account Consumers and Businesses (this will open in a new tab).

Checkboxes *

By signing this form, I confirm that I have read and consent to the Conditions for Hire and Sale of Goods to Account Consumers and Businesses *

Sign here *

Clear Signature

Date Signed *

Print Name *