Account Application Form - 30 Days

If you would like to apply for an account with McLaren Hire, please fill in the Account Application Form below

All fields on this application are mandatory

Business Name
Trading As
Invoice To:	Business Name Trading Name
ABN
ACN

Registered Office Address

Postal Address
Phone Number
Fax Number
Mobile Number

Director / Manager (1)
Home Address
Drivers License Number
Expiry
Phone A/h
Mobile

Director / Manager (2)
Home Address
Drivers License Number
Expiry
Phone A/h
Mobile

Contact Person bookings and purchasing
Phone
Fax
Email
Mobile

Site/Project/Area Manager
Phone
Fax
Email
Mobile

Accounts Payable - Contact Person
Phone
Fax
Email
Mobile

Expected monthly spend limit: $

INVOICES
All invoices will be emailed to
All statements will be posted to

Credit / Supplier trade references: Please ensure you use businesses with similar credit limits and are suppliers to your company and will be happy to provide a trade reference on your behalf. It is the policy of some companies to not supply trade references, please check with your referee before placing them on the form.

Company Name
Accounts Contact Person
Phone
Fax
Email

Company Name
Accounts Contact Person
Phone
Fax
Email

Company Name
Accounts Contact Person
Phone
Fax
Email

Your Company Bank Details
Bank Manager/Accountant Name
Bank Manager/Accountant Contact Number
Bank Name
Branch
Account name
BSB
ACCOUNT Number

Payment of Account: How will your company be paying this account
	Cheque Direct Deposit Credit Card (Mastercard, Bank Card, Visa, AMEX, Diners) NOTE: If paying by credit card please ensure you download the credit card authority and sign and return it. Diners and AMEX incur an additional credit card processing fee.

Collision Protection Selection - Please select one option only Download Collision Protection Waiver PDF for full details
Self Insured STANDARD COVER Level 1 BRONZE COVER Level 2 (reduces standard cover excess) SILVER COVER Level 3 GOLD PACKAGE COVER Level 4 (includes Level 3 and reduces excess)

Does your company use purchase orders for bookings?
	Yes No
If you select "NO" all hires requested on behalf of the business applying for credit will be your responsibility

McLaren Hire Sales Person you have been dealing with?
Karratha	Michelle Burton Tristan Manion Hannah Wilkes
Port Hedland	Hayley Young Eliza Carbines Danielle Skelton

Where did you hear of McLaren Hire?

I certify that the above information is true and correct and that I am authorised to make this application for credit. I have read and understand the Personal/ Directors Guarantee and Indemnity (Download PDF) and the GENERAL TERMS AND CONDITIONS (Download PDF) of McLaren Hire which form part of and are intended to be read in conjunction with this Credit Account Application and agree to be bound by these conditions.

Signed by
Name
Date
Position
Witness by
Name
Date
Position

GENERAL TERMS AND CONDITIONS TO RENTAL AGREEMENT Download PDF

I accept and agree to all terms and conditions on this contract.
Accepted By
Accepted Date