Company Name (required)

Registered Address (required)

Company Registration Number (required)

VAT Number (required)

Names & Addresses of Proprietor/Partners if not a LTD Co (required)

Invoice/Statement Address (required)

Email Address for Invoices & Statements (required)

Are Official Order Numbers Mandatory (required)
—Please choose an option—YesNo

Accounts Contact (required)

Accounts Contact Telephone Number (required)

Accounts Email Address (required)

Buyer Contact (required)

Buyer Contact Telephone Number (required)

Buyer Contact Email Address(required)

Business / Trade References

Trade Reference 1 Organisation (required)

Trade Reference 1 Contact Name (required)

Trade Reference 1 Address (required)

Trade Reference 1 Contact Number (required)

Trade Reference 1 Email Address (required)

Trade Reference 2 Organisation (required)

Trade Reference 2 Contact Name (required)

Trade Reference 2 Address (required)

Trade Reference 2 Contact Number (required)

Trade Reference 2 Email Address (required)

Can you provide Hired In Plant Insurance (required)
—Please choose an option—YesNo

Your Preferred Payment Method (required)
—Please choose an option—Direct DebitCard Payment

Please click HERE to view Scotloo's; Damage Waiver

I confirm that I have read and accept that the hire of the goods is subject to Scotloo's Damage Waiver (see below) (required)

—Please choose an option—YesNo

Please click HERE to view Scotloo's; Hire Guidelines

I confirm that I have read and accept that the hire of the goods is subject to Scotloo's Hire Guidelines (see below) (required)

—Please choose an option—YesNo

Please click HERE to view Scotloo's; Privacy Policy

I confirm that I have read and accept that the hire of the goods is subject to Scotloo's Privacy Policy (see below) (required)

—Please choose an option—YesNo

Please click HERE to view Scotloo's; Terms and Conditions of Hire

I confirm that I have read and accept that the hire of the goods is subject to Scotloo's Terms & Conditions of Hire (see below) (required)

—Please choose an option—YesNo