Please fill in the online contact form below. You can also download a form here to post or fax.
Your Name Company Registration
Your Address Postcode
Telephone Fax Email
Name Date of Birth
Name Address
Telephone Fax
Name of Bank
Account Number
Sort Code
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
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
