Client Account Application Form

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Business Information
Company Name*
Telephone*
Company Address*
Street Address Address Line 2 City County Post Code
Registered Office Address
- Same as above
Register Office Address*
Street Address Address Line 2 City County Post Code
Email Address*
Website
VAT No.
Registration No.
Company Contacts
Accounts Payable
Accounts Payable Name:*
Accounts Payable Telephone:*
Accounts Payable Email:*
Order Placement
Order Placement Name:*
Order Placement Telephone:*
Order Placement Email:*
2 x Trade References
Trade Reference 1 Company:*
Trade Reference 1 Telephone:*
Trade Reference 1 Email:*
Trade Reference 1 Address:*
Street Address City County / State / Region ZIP / Postal Code
Trade Reference 2 Company:*
Trade Reference 2 Telephone:*
Trade Reference 2 Email:*
Trade Reference 2 Address:*
Street Address City County / State / Region ZIP / Postal Code
Banking Information
Name of Bank:*
Bank Account Number:*
Bank Sort Code:*
Bank Address:*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Credit Limit Required*
Please be advised that our credit terms are strictly 30 days from date of invoice. If your payment terms differ, this must be agreed prior to the undertaking of any work. All jobs will be invoiced by Friday of the following week.
What is your monthly cut-off date for receipt of invoices?*
Do you use orders number for the placement of transport?*
- Yes
- No
If so, do they need to be quoted on the invoice?*
- Yes
- No
Email address for invoicing*
Email address for statements*
Please select one of the following options:*
- An Electronic POD (EPOD) only, no physical paperwork signed. Signature, date, time & location captured on PDA
- Access to view scanned PODs on customer portal
- PODs are required to be emailed with invoice
All goods carried under RHA Conditions of Carriage 2026 and stored under UKWA Contract Conditions for Warehousing and Logistics 2024. If increased insurance limits are required, please ensure this is in place prior to us undertaking any work.
Form Completed by:*
Title*
Signature*
Date*
Acknowledgement*
- I have read and understood the Terms of Carriage
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Would you rather fill out this form offline?

Business Information

Company Contacts

Accounts Payable

Order Placement

2 x Trade References

Banking Information

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