office@2cousins.co.uk

Credit Account

Please fill in the online contact form below. You can also download a form here to post or fax.

Full Company Name & Address

Your Name

Company Registration

Your Address

Postcode

Telephone

Fax

Email

Company Directors

Name

Date of Birth

Trade Refrences (Two Required)

Name

Address

Telephone

Fax

Name

Address

Telephone

Fax

Bank Details

Name of Bank

Account Number

Sort Code

Account Department Details

Contact Name

Address

Postcode

Telephone

Fax

Email

Days/hours for Contact

In completing and submitting this Form you agree that all trading between yourselves and 2 Cousins Access Platforms Limited is subject to the CPA Construction Plant-hire Association MODEL CONDITIONS FOR THE HIRING OF PLANT (With effect from July 2021). A copy is available on request or can be downloaded from here.

I agree to the CPA conditions

Plant Insurance - Damage Waiver

If you have your own Contractors Plant Insurance then please indicate below, please note that if you select this option we require a copy of your 'hired in plant' insurance policy to be sent with the return of the completed form.

Own 'Hired in Plant' Insurance then please tick here
Alternatively, if you would like to take advantage of the 2Cousins Damage Waiver Scheme then please tick here

Push Arounds

Vertical Mast Lifts

Scissor Lifts

Articulated Booms

Tracked Spider Lifts

Trailer Mounted

Telehandlers

Van & Truck Mounted

IPAF Training

Aluminum Towers

Health and Safety

Asbestos

Ladder Training

Harness

Confined Spaces