Site: Aura Internet

 

OPEN 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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Dromad Hire, Dublin Road, Dundalk, Co. Louth Tel 042 933 9500 email:info@dromadhire.com