Credit Account

Please fill in the online contact form below. You can also download a form here to post or fax.

FULL COMPANY NAME AND ADDRESS







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COMPANY DIRECTORS


TRADE REFERENCES (TWO)






BANK DETAILS

Account Number (required):
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ACCOUNT DEPARTMENT DETAILS

Contact Name (required):







In completing and submitting this Form you agree that all trading between yourselves and 2 Cousins Access Platforms Limited is subject to the CPA Construction Plant-hire Association MODEL CONDITIONS FOR THE HIRING OF PLANT (With effect from July 2011). A copy is available on request or can be downloaded from here.

I agree to the CPA conditions 

 

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