Application for Credit – RMP Hire Ltd.

Full Company Name (Required) *

Trading Name *

Business Address

Contact Name

Date of Incorporation *

Busines Phone Number *

Company Registration Number

If not a Limited Company please specify *Sole TraderPartnershipOther

Proprietor Name and Address *

Trade Reference 1. Name, Address, Telephone & Email. *

Trade Reference 2. Name, Address, Telephone & Email. *

Please attache a copy of your hired in Plant Insurance or Broker's summary showing: Insurance Company, Expiry Date, Broker's Name, Indemnity Levels, Policy Number & Claims Excess. *

No file chosen

Signed *

Position *

Print Name *

Your Email *

Date *