Fast ApprovalMost accounts approved within 2 business days

30-Day TermsMonthly consolidated invoicing available

Dedicated SupportPriority service and account manager

1 Company Details

Legal entity information as registered with the Companies Office.

Legal Company Name *

Trading Name (if different)

NZBN

GST Number

Business Type *

Industry / Trade *

Registered Business Address *

Postal Address (if different from above)

2 Primary Contact

The person responsible for managing this account.

Full Name *

Position / Title *

Phone *

Email *

Accounts / Invoicing Email (if different)

Accounts / Invoicing Phone (if different)

3 Credit & Delivery

Your estimated usage and preferred delivery areas.

Requested Credit Limit *

Estimated Monthly Spend

Primary Delivery / Work Area(s) *

Equipment Typically Required

Electric Scissor Lifts

Diesel Rough Terrain

Boom Lifts

4 Trade References

Please provide two trade references — suppliers or businesses you currently hold accounts with.

Reference 1

Company Name *

Contact Name *

Phone *

Reference 2

Company Name *

Contact Name *

Phone *

5 Declaration & Agreement

Please read and agree before submitting.

By submitting this application, the applicant acknowledges and agrees that:

All information provided is accurate and complete to the best of their knowledge.
Scissor And Boom Height Access Ltd may conduct credit checks and contact the nominated references.
Credit terms are 30 days from invoice date unless otherwise agreed in writing.
All hire is subject to Scissor And Boom's standard Terms & Conditions of Hire.
Scissor And Boom reserves the right to decline any application or withdraw credit facilities at any time.
Any director, partner or proprietor signing this form may be required to provide a personal guarantee.

Full Name (Authorised Signatory) *

Position *

Additional Notes

I confirm the information above is correct and I agree to Scissor And Boom's Terms & Conditions. *

Your information is kept confidential and used only for account processing.

Account Application

1 Company Details

2 Primary Contact

3 Credit & Delivery

4 Trade References

5 Declaration & Agreement

Questions About Your Application?