Credit application



 
Client details
Trading address
Trading address
Contact
Contact
Trade information
Accounts department contact
Accounts department contact
£
Trade reference 1
Contact name
Contact name
Trade reference 2
Contact name
Contact name
Bank details
Insurance
Contact
Contact
Date
Date
I/We accept Electra's Terms and Conditions which are available on the link above. It is the responsibility of the hirer to provide adequate insurance cover to include all risks and subsequent loss of hire to equipment. *