***TRAINING CENTRE UPDATE***
New Accounts Application 2017-10-12T18:07:31+00:00

New Accounts Application

Complete the form below fully to set up a new account with Emerson.

Section 1 - Company

NAME OF COMPANY/ORGANISATION*

TRADING TITLE (IF DIFFERENT FROM ABOVE)

COMPANY REGISTERED ADDRESS*

INVOICE ADDRESS (IF DIFFERENT FROM ABOVE)

COMPANY REGISTRATION NUMBER

VAT NUMBER

Section 2 - Contact Details

MANAGING DIRECTOR'S NAME

TELEPHONE NUMBER*

EMAIL ADDRESS*

ACCOUNTS DEPARTMENT CONTACT

ACCOUNTS TELEPHONE NUMBER*

ACCOUNTS EMAIL ADDRESS*

PRIMARY CONTACT OF HIRER

TELEPHONE NUMBER*

EMAIL ADDRESS*

HEALTH & SAFETY MANAGER

TELEPHONE NUMBER*

EMAIL ADDRESS*

Section 3 - Sole Trader

SOLE TRADER

COMPANY REGISTERED ADDRESS

TELEPHONE NUMBER*

EMAIL ADDRESS*

Section 4 - Bank Details

BANK NAME*

ACCOUNT NAME*

ADDRESS*

ACCOUNT NO*

SORT CODE*

Section 5 - Insurance

HIRED IN PLANT - VALUE OF SINGLE ITEM INSURED*

HIRED IN PLANT
CERTIFICATE*
EMPLOYER LIABILITY
CERTIFICATE*
PUBLIC LIABILITY
CERTIFICATE*

PAYMENT TERMS ARE STRICTLY 30 DAYS

Section 6

HOW DID YOU HEAR ABOUT EMERSON?

PLEASE SELECT THE BOX IF YOU USE THE FOLLOWING SERVICES
Cranes on CPACranes on Contract Lift

WHAT SIZE OF CRANE WOULD YOU EXPECT TO USE?
20T40T55T60T90T95T100T130T200T220T300T

WHEN DO YOUR LIFTING OPERATIONS TAKE PLACE?
DayWeekendNightsChristmas

DO YOU REQUIRE THE FOLLOWING TRAINING COURSES?
Appointed Person (A61)Crane Supervisor (A62)Mobile Crane (A60)Slinger Signaller (A40)Compact Crane (A66)Site Safety PlusH&S AwarenessSupervisor (SSSTS)Site Managers (SMSTS)Plant Managers (PMSTS)ALLMI - Operator Course

Opt Out of receiving any Special Offers on our products and services.

Section 7

I confirm that I am applying for a Credit Account on behalf of the above company, have the authority to do so and acknowledge the 30 Day Payment Terms.

I agree to provide Emerson Crane Hire Ltd with proof or our valid Hired in Plant Insurance upon expiry of any existing provided certificates and policies.

In the event that we fail to provide the above-mentioned certification, we agree to pay any appropriate additional charges as levied by Emerson Crane Hire Ltd even if the cover is still in force.