Account Application

Prior to leasing a container, please fill in the form and submit it to us so we can get it underway, it only takes a few minutes. Our team will be in touch with you very soon. If you are not sure of anything in the process call us on 0508 SECURE and we will guide you through it.

I am a:

Sole trader, partnership or Ltd company
Individual
Other (please state):

Sole trader, partnership, company & other details

Company name:
Trading name (if different from above):
Incorporation #:
Other organisation name:
Phone:
Nature of business:
Years in business:

Individual Details

First name:
Last name:
Date of birth:
Drivers licence #:
Version (5b on licence):
Next of kin - first name:
Next of Kin - last name:

Contact details

Postal address:
Postal postcode:
Physical address:
Physical postcode:

First name:
Last name:
Position:
Phone:
Mobile:
Fax:
Email:
Accounts payable name:
Accounts payable phone:

Trading References

01) Trading Reference
Name:
Phone:

02) Trading Reference
Name:
Phone:

03) Trading Reference
Name:
Phone:

Terms & Conditions

Read the Terms & Conditions here →

I / We hereby apply for a credit account with your Company.
I / We warrant the above particulars are true and correct to the best of my / our knowledge.
I / We read and agree to bound by the Terms and conditions of Credit Approval. I / We understand that the goods supplied, remain the property of NZL Container Services Limited until paid for.

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