Application form

Like speed dating we need to know a little bit about you first.

Please fill out the form below to apply for equipment hire. If you have any trouble with the form, you can also complete an alternative PDF version.

* Required fields

Business contact information

Company name*

Main contact *

Email address *

Phone number *

Company address *

Business & credit information

Company number*

Payments administrator

Email address for payments administrator*

Business/Trade References

Please provide two referees who we may contact.

1/ Company name *

Company phone number *

Email address

Company address

2/ Company name *

Company phone number *

Company email address

Company address

How did you hear about Focus24?

I agree to the Focus24 terms & conditions and will return a signed copy after my application has been accepted.

I agree *

Delivery guide and costs

Delivery of equipment is £30.00 per journey to any destination within the M25, and 60p per mile beyond.

Outside of our standard working hours (8:30am- 6:30pm, Monday-Friday) deliveries are charged at £60.00 per journey.