Credit Account Application

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Water Provider

New Account

Select 'Yes' if you do not currently have a Credit Acount with Aquam.

Water usage is charged on a monthly basis and requires a credit account to be opened.

Click here to create a new credit account with Aquam Water Services

Account No.

Your account no. can be found on any invoice from Aquam.

Company

Contact Name

Phone

Mobile

Fax

Billing Address

Address line 1

Address line 2

Town/City

County

Postcode

Order Type

Please indicate above whether this is a New Order, Renewal or Quotation.
If you wish to discuss further before ordering, choose Quotation.
You must have an account before you can place an order.

Renewal Contract

If a renewal, please enter your standpipe contract number, if known.

Total Costs

£xxx.xx

Excludes Water usage.

All prices exclude VAT. Minimum 1 week charge for Standpipes.
All pre-payments are non refundable. Meter Readings must be supplied on a monthly basis.

Delivery

delivery test!

Purchase Order No. *

Purchase Order Value *

PO No. Required?

IMPORTANT!: A genuine Purchase Order number and value MUST be provided if your company requires a PO number to pay invoices. Otherwise, your application will not be processed.

User Agreement

Check above to indicate you have read and accepted the AWS terms & conditions

You can only use a standpipe provided by Water Services for the purpose indicated above and attach it to a Wash Out (WO).
You undertake to report any damages or loss immediately and return the standpipe on the above return date.

Additional Info

If required, have you applied for a Temp water supply with United Utilities Developers Services?

If No and required, this needs to be done before we can supply a Standpipe please ring 0345 072 6067

Pricing

All Hire Rates will be charged in line with our prevailing trade catalogue.
All rates attract VAT and are based upon 5 working day week or pro rata where minimum hire charges apply.

Signatory Role

Other

Specify other role if applicable

Your Name

Enter your name as signatory to this declaration

User Agreement

Check above to indicate you have read and accepted the AWS terms & conditions.
In signing this account form I being an authorised officer of this business acknowledge that all transactions will be governed by the Terms & Conditions of Hire & Sale of Water Services and guarantee payment in respect of all sums due from my Company (“The Customer”) to Water Services together with any ancillary costs incurred. I have retained a copy of this form for my records and accept that this is the essence of the contract between us.

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Contacting Server

Report Hydrant Misuse

Click here to report unapproved Standpipes.

Calm Networks Training

Find out more about Calm Networks Training.

Credit Account Application

Your application has been submitted and will now be processed.

Thank you, we'll be in contact again shortly!

Report Hydrant Misuse

Calm Networks Training

Aquam Water Services are proud to have achieved the following accreditations.