Authorise Works

Order Of Works Authorisation

To authorise the undertaking of works, please complete the form below and fill in all sections marked with a (*).

Services Required* (tick all that apply)

Installation

Maintenance / Repairs

Product Supply

Requirement Details (optional)

Site Contact Details* (Site Address)

Business / Client Name

Site Address

Site Postcode

Contact Person* (On Site Contact)

Name

Email Adress

Phone #

Mobile #

Payment Details* (required for invoicing purposes)

same as site address

Trading Business / Client Address

Postcode

Phone #

Registered Company Details*

*If you are limited company, the details below are required.

same as site address

Registered Address

Registered Postcode

Company Reg # (where applicable)

Company Director (where applicable)

Client Type*

Limited

Individual

Partnership

Sole Trader

Other

Declaration

I/We am/are authorised to sign this form and agree to the Terms and Conditions specified.

Print Name

Signature
-

Date

Terms & Conditions

Check the box to confirm you have read and agree to the terms & conditions.

Click the button to submit your works order.