Company DetailsFull Trading Title*Type of businessNormal trading areaStatusCompanyPartnershipIndividualAddress* Street Address Address Line 2 City County / State / Region ZIP / Postal Code Contact DetailsTel. no*MobileFaxEmail address* Email address for invoices and statements* All invoices and statements will be sent electronically unless requested otherwise in writingCompany registration detailsCompany registration no.VAT registration no.Accounts contactA/c tel no.Registered office addressAddress Street Address Address Line 2 City County / State / Region ZIP / Postal Code Company PartnersPartner 1Name First Last Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Partner 2Name First Last Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Trade referencesFirst referenceRef 1 Name*Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Tel no.*Second referenceRef 2 Name*Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Tel no.*TERMS OF PAYMENT APPROVED CREDIT ACCOUNTS ONLY Accounts are due for payment no later than the end of the month following date of Invoice. Where part of an account exceeds our Credit Terms the company (Wessex Eagle Ltd) shall deem that the total account be overdue and be entitled to demand immediate settlement of the total account.Declaration* By ticking this box you agree to accept the Eagle Plant terms and conditions of hire and payment (CPA model conditions for the hiring of plant – available on our website). Please confirm you have supplied a copy of your Company letterhead paper to either our Head Office address or by email to email@example.com I confirm that unless I supply a copy of my hired in plant insurance to the Head Office address or by email to firstname.lastname@example.org then I will be be charged Damage / Loss Waiver on all hires at the current rate – further details of which can be obtained from the hire desk.Existing Prospective Customer*I have already received a prospective customer quotation.I have not received any quotations yet.Consent to Processing Data (GDPR)* I agree the information I have provided can be used to process my credit account application with Wessex Eagle Ltd (Eagle Plant)To proceed, please provide your consent for us to process the data you have provided on this form. Your data will only be used for assessing your application and for any subsequent operation of an authorised credit facility with Eagle Plant and will not be used for marketing purposes. If you have provided an email address and your application is successful, we will send invoices, statements and any emergency safety announcements to this email address. By selecting this option you consent to the data you have supplied being held and processed by Eagle Plant for the sole purpose of a supplier/customer relationship. To change your consent or request further information you can email: Customer.Support@eagleplant.co.ukPhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.