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

    Company Directors

    Trade Refrences (Two Required)

    Bank Details

    Account Department Details

    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