VMI Head Office Unit 1, Granville Industrial Estate, 146-148 Granville Road, London NW2 2LD. Tel: +44 (0)870 850 1444 Fax: +44 (0)870 850 1445

Company Details:

Full Company Name:Address: Address:

GPS GPS

Telephone: Telephone:

Fax: Fax:

Contact Name:

Position:

Email:

Accounts Department:

Contact Name: Company Registration No:

Position: VAT No:

Trade References (suppliers, media related preferred)

Reference Name 1: Reference Name 2:Address: Address:

Post Code: Post Code:

Telephone: Telephone:

Contact Name: Contact Name:

Email: Email:

2020 Office Use Only:

Regular Customer: yes / no Regular Customer: yes / no

Trading Record: Months_____ / Years_______ Trading Record: Months_____ / Years_______

Monthly Credit Limit: Monthly Credit Limit:

Payment Within 30 Days: yes / no Payment Within 30 Days: yes / no

Declaration:

Name (BLOCK CAPITALS)

Signature: Date:

I am duly authorised by the applicant business to apply for hire of equipment with 2020 and have read and abide by your Terms and Conditions of business.

Registered Office (if different)

2020 ACCOUNT APPLICATION - PLEASE NOTE THIS IS NOT AN APPLICATION FOR CREDIT