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 *

Directors Name *

First

Last

Directors Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Is there a second director? *

Yes
No

✔︎ This will help us to verify you more quickly.

Second Directors Name *

First

Last

Second Directors Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Is there a third director? *

Yes
No

✔︎ This will help us to verify you more quickly.

Third Directors Name *

First

Last

Third Directors Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Is there a fourth director? *

Yes
No

✔︎ This will help us to verify you more quickly.

Fourth Directors Name *

First

Last

Fourth Directors Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

In addition to the above directors, is there anyone else that you would like to authorise to place an order? *

Yes
No

Person 1 Name *

First

Last

Position in company *

Contact Phone *

Email *

Would you like to add a second person? *

Sure!
No, Thanks.

Person 2 Name *

First

Last

Position in company *

Contact Phone *

Email *

Would you like to add a third person? *

Sure!
No, Thanks.

Person 3 Name *

First

Last

Position in company *

Contact Phone *

Email *

Would you like to add a fourth person? *

Sure!
No, Thanks.

Person 4 Name *

First

Last

Position in company *

Contact Phone *

Email *

First Owners Name *

First

Last

First Owners Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

First Owners Date of Birth *

Would you like to add a second owner? *

Yes
No, thanks.

Second Owners Name *

First

Last

Second Owners Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Second Owners Date of Birth *

Would you like to add a third owner? *

Yes
No, thanks.

Third Owners Name *

First

Last

Third Owners Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Third Owners Date of Birth *

Would you like to add a fourth owner? *

Yes
No, thanks.

Fourth Owners Name *

First

Last

Fourth Owners Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Fourth Owners Date of Birth *

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

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 *

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

Yes
No

It's ok if you aren't, we just have to check.

*

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.

*

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).

*

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 *

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.