Riwal UK Hire Guide 2020 - Catalog - Page 135
ACCOUNT APPLICATION FORM
How did you hear about us? (Required)
Sales Visit
Sales Telephone Call
Referral
Noticed Equipment On Site
Internet Search Engine
Please circle the main industry sector associated with this company:
Construction Events & Entertainment Agriculture Maintenance Industrial
Equipment Related Technical Engineering Logistics Miscellaneous
PLEASE COMPLETE IN BLOCK CAPITALS
YOUR DETAILS
Company Name:
Invoicing Address:
Postcode:
Year Established/Incorporated:
Your Name:
Business Type (Please circle)
Company Registration Number:
Limited Company
Partnership/Sole Trader
VAT Number:
YOUR BUYING DETAILS
YOUR ACCOUNTS DETAILS
Contact Name:
Account Contact:
Buyer Email:
Account Email:
Buyer Tel Number:
Account Tel Number:
Buyer Fax Number:
Account Fax Number:
OUR BANK DETAILS
Bank Name:
Royal Bank Scotland
Account Number:
10258105
Branch:
Chesterfield
Sort Code:
16 16 18
Account Name:
Riwal UK Ltd
IBAN Number:
GB23RBOS16161810258105
PLANT INSURANCE DETAILS
INSURANCE DETAILS - Under CPA Terms and conditions it is the Hirer’s responsibility to insure equipment for damage and loss
whist on hire. Please provide a copy of your Hired in Plant insurance policy. Unfortunately, if you are unable to comply with this
requirement it will be necessary to choose a level of cover through the Riwal Damage Protection Plan and pay the required cover
surcharge for all hires. T&Cs apply to this plan, please see your Account Manager for more information
PLEASE TICK APPLICABLE No, I have my own insurance and enclose/fax a copy with this application
Yes, I wish to be covered by the Riwal Damage Protection Plan and I Choose cover Level
Gold
Silver
Bronze
Signature of Applicant
Print Name
Position
Date
NB. The person signing this form must have authority to open accounts, i.e. Director, Partner.
I/We agree that Riwal UK Ltd may make any credit enquiries necessary to support this application. I/We agree to the standard payment terms of 30 days from invoice
date and accept that if accounts are not paid within the aforementioned period, Riwal UK Ltd reserve the right to apply interest against the overdue account at 3%
above the prevailing bank rate. I/We understand that if any part of the account falls into arrears then the whole amount outstanding on the account whether due
or not becomes payable immediately. I/We understand that Riwal UK Ltd will keep the information on this form as part of their record to maintain and improve the
management of their rental business. This may include the sharing of information with related companies within or outside Europe. I/We agree to use the information
in this way. I/We may see the information at any time to ensure it is up to date. By signing above you agree with all terms and conditions in regards to the completed
account application form and wish to open an account.
NB. It is the Hirer’s responsibility to make Riwal aware of any holiday suspensions in advance to avoid being charged for these periods.
CPA Model Terms and Conditions of Hire (July 2011) - Copy available on request
Please Complete and e-mail to hiredesk.uk@riwal.com quoting your Account Manager’s name.
Office Use Only: Credit Limit:
Account Manager:
Date Opened:
Account Number:
RIWAL UK Ltd - Access Hire and Sales, DC7 Blossom Way, Prologis Park, Hemel Hempstead. HP2 4ZB
Company Registration Number 6488993, Registered V.A.T number 972433412
National Customer Centre:
0844 335 2993
www.riwal.com
hiredesk_uk@riwal.com
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