General Equipment Rentals Online Credit Application Form

Company Name *

Postal Address *

ABN Number *

ACN Number *

Sales Contact Name *

Accounts Contact Name *

Type of Business *

Director's and/or Partner's Name #1 *

Director's and/or Partner's Name #2 *

Trade Reference #1 *

Trade Reference #2 *

Where did you hear about us? *

I / we would like to hire from General Equipment Rentals on the Terms and Conditions of Hire available at www.gerentals.com.au and also attached to this application.

I/we would like to open a credit account with General Equipment Rentals.

I / we agree to trading terms of 28 days from invoice date.

If your account exceeds our trading terms and is passed over for collection, all costs, including debt collection commissions, solicitor’s fees and any out of pocket expenses will be the liability of the customer.

FLT Waiver

We add 12% for fire and theft waiver (“FLT” Waiver) (some exclusions apply). If you do not want this coverage, please tick here, left un-ticked will apply the FLT Waiver.

Name as authorised representative for Company *

Date *