Open customer account - Loxam Access

You are a limited company

Download application form (PDF)

Or fill the form below:

Name*:

Position*:

For Branch use only

Branch Name*:

Customer's Own Plant*:

Insurance Lox-Guard

Full Trading Name*:

Company Registration Number*:

Credit Limit requested*:

Full Trading Address/Invoicing Address*:

Postcode*:

Telephone No*:

Fax No*:

Office Contact Name*:

DDI No*:

E-mail*:

Do you require Order numbers to be mandatory*:

Yes No

Please confirm if you are insured for hired plant*:

Yes No

Copy*:

Limit of Public Liability insurance*:

Limit of 'All Risks' plant insurance*:

Lox-Guard Damage Waiver to be taken for every hire*:

Yes No

You are a sole trader

Download application form (PDF)

Or fill the form below:

Name*:

Position*:

For Branch use only

Branch Name*:

Customer's Own Plant*:

Insurance Lox-Guard

Full Trading Name*:

Years in business*:

Credit Limit requested*:

Full Trading Address/Invoicing Address*:

Postcode*:

Telephone No*:

Fax No*:

Office Contact Name*:

DDI No*:

E-mail*:

Partner 1 Name(s)*:

Date of Birth*:

Home Address*:

Postcode*:

Telephone No*:

Current home utility bill*:

Partner 2 Name(s)*:

Date of Birth*:

Home Address*:

Postcode*:

Telephone No*:

Current home utility bill*:

Please confirm if you are insured for hired plant*:

Yes No

Copy*:

Limit of Public Liability insurance*:

Limit of 'All Risks' plant insurance*:

Lox-Guard Damage Waiver to be taken for every hire*:

Yes No

Loxam Access, specialist in the rental of access equipment (booms, scissor platform, van and truck mounted-platforms)

Loxam Access

Services

Network

Machine selector

Open credit account

You are a limited company

Or fill the form below:

You are a sole trader

Or fill the form below:

Loxam Access

Rent

Network