Account Application Form

Contact Info

First Name*

Last Name*

Company*

Email*

Phone*

VAT Reg No*

Years Trading

If Limited Company

Company Reg No*

Date of Incorporation*

Managing Director First Name*

Managing Director Last Name*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Trade References

(PLEASE NOTE THAT OIL, UTILITY & PHONE BILLS ARE NOT ACCEPTED)

Contact 1 Name*

Phone Number

Contact 2 Name*

Phone Number

Additional Info

Have you got insurance cover for trailers? (attach a detached copy please)*

YES
NO

Do You Sub-Lease Trailers?*

YES
NO

Has your company been Credit Rated?*

YES
NO

If yes, please insert rating body.

Annual Turnover*

<500
<1Million
<10Million

Will GTR LTD Trailers be used outside the ROI?*

YES
NO

If yes, please state where.*

Will hazardous material be carried?*

YES
NO

If yes, please state what.

Additional notes/comments

Invoicing Info