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
Section 2 - Contact Details
MANAGING DIRECTOR'S NAME
ACCOUNTS DEPARTMENT CONTACT
ACCOUNTS TELEPHONE NUMBER*
ACCOUNTS EMAIL ADDRESS*
PRIMARY CONTACT OF HIRER
HEALTH & SAFETY MANAGER
Section 3 - Sole Trader
COMPANY REGISTERED ADDRESS
Section 4 - Bank Details
Section 5 - Insurance
HIRED IN PLANT - VALUE OF SINGLE ITEM INSURED*
PAYMENT TERMS ARE STRICTLY 30 DAYS
HOW DID YOU HEAR ABOUT EMERSON?SelectGoogle SearchSocial MediaEmerson FleetReferralOther
PLEASE SELECT THE BOX IF YOU USE THE FOLLOWING SERVICESCranes 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.
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.
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