Full Trading Name * Full Trading Address * Registered Office * How Long have you Been Trading? * Company Registration Number * Principle Activity of Business * Do You Require An Order Number To Be Quoted On Invoices? * Yes No Name Of Person Responsible For Payment Of Accounts * Phone Number * Name Of Bank * Bank Account No. * Address Of Bank * Sort Code * Trade Reference Name * Trade Reference Address * Have You Ever Been Refused Credit ? * Yes No Are You Insured For Hired In Plant ? * Yes No Name * Position * Date * Linden Plant Hire operates under CPA terms and conditions when on hire the machine is the hirers responsibility Confirmation * I confirm that these details are used for the purposes of addressing the issue and correspondence.