HIRE ACCOUNT APPLICATION

DETAILS OF APPLICANT REFERENCES

Trading name & address of account BANK. Name and address

Post code Post code

Telephone no.

www address:

Name of account

Sort code

Are you registered for VAT? NO Account number

YES VAT no.

TRADE REFERENCES – SUPPLIER 1

Name & address where accounts are paid from Name & address

Post code Post code

Name of contact Job title Contact name

Telephone no. Fax no. Telephone no. Fax no.

Company Registration No. TRADE REFERENCES – SUPPLIER 2

Country of Company Registration Name & address

Company formation date

Please provide the names of the following people &/or groups:-

Managing Director

Finance Director Post code

Major Shareholders Contact name

Telephone no.

Persons (name/job title/e-mail) authorised to place orders

We……………………………………………………………….

Webcast It normally requires payment in advance for the first hire.

Please state the amount of credit required in £ Sterling for future hires.

CREDIT AMOUNT APPLIED FOR: £

Signed…………………………………………………………………………..

INSURANCE FOR HIRED EQUIPMENT

Printed ………………………………………………………..

Name of insurance company

Dated……………………………………………………………………………

Please attach a copy of insurance schedule showing all risks

cover for hired in equipment.

The signature on this form must be that of a Company

Director or Principal

Return this form to nick@minicams.tv

Minicams is a trading name of Webcast It LTD

apply for a hire account with minicams and agree to abide

by the Standard Terms of Hire.