Dromad Hire - Open An Account

If you would like to open an account with Dromad Hire please complete the form below. Please note all sections must be filled in. Enter NA if not applicable.

Company Name:
Address:
Email:
Telephone No:
Mobile No:
Evening No:
Fax No:

Business Type:
Partner /Principal 1 (Name, Address, Telephone No.)
Partner /Principal 2 (Name, Address, Telephone No.)
Number of Years in Business:
VAT No.:
Company Registration No.:
Name & Address of Bank:
Bank Account No.:
Trade Reference 1 Name: Address:
Trade Ref Telephone Telephone No:
Trade Ref Fax Fax No.
Trade Reference 2 Name: Address:
Trade Ref Phone Telephone No.
Trade Reference 2 Fax No.
Trade Reference 3 Name: Address:
Trade Reference 3 Telephone No.
Trade Reference 3 Fax No.
Account contact no:
Does you company use order numbers:
If No, please list people authorised to hire goods on your account:
Please confirm that you are an owner or partner:
Your name:
Your position:
Date:

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1	Carpet Cleaner
2	Rotavator Small 5hp Petrol
3	Power Washer Petrol 2200 Psi
4	Dehumidifier Small
5	Digger 1ton 28" wide
6	Hedge Cutter Long Reach
7	Pole Chainsaw
8	Car Transporter with winch 1.7ton
9	Scarifier Petrol (moss Remover)
10	Wallpaper Stripper

1	Wood Chipper 3.5" Petrol
2	Aluminium Stair Tower
3	Steam Cleaner Commercial
4	Heater Energy Saving Patio
5	Moon Light
6	Surface Cleaner Gum Remover
7	Surface Cleaner Building Walls
8	Surface Cleaner Graffiti Blaster
9	Inspection Camera
10	Drinks Cooler