I/we (The applicant) hereby apply to subscribe to the UsedHyster service, subject to the conditions outlined in the Terms and Conditions of Business which are outlined in the attached schedule and initialled by me/us for identification purposes. I/we acknowledge that this application form, if accepted and signed to that effect by Barloworld Handling., will become the valid subscription Agreement between me/us and Barloworld Handling. I/we confirm that we have read the said Terms and Conditions and accept it as binding upon me/us in respect of the subscription agreement hereby entered into. This application form, duly signed by me/us also constitutes consent for the payment by me/us of the relevant fees.

* = required field
Company name*:
Trading name (if different):
Account number (if existing customer):
Legal status (limited co, partnership, sole trader):
Company registration number:
How long in business:
VAT registration no:
Nature of business:
Name of parent company:
Full names of partners or proprietor:
Delivery address*:
Country*:
Invoice Address (if different from above):
Primary contact - First name:
Primary contact - Surname:
Primary contact - Position in the company:
Primary contact - Email address:
Primary contact - Direct number:
Secondary contact - First name:
Secondary contact - Position in the company:
 
 
Terms and conditions
    
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