Company name: Company registration no: VAT no:
Address: City / town: Country:
Postcode: Contact title Contact forename: Contact surname:
Email: Tel No. Mobile No. Fax No. Insurance expiry:
Please attach a copy of Goods In Transit Insurance document: and your Public Liability Insurance document:

Are you a member of ECG (European Car Transport Group of Interest)? Yes No

If yes, please enter your company registered name:


Finance details

You may leave the following fields blank if you would prefer us to contact you by phone for this information:

IBAN No : Bank account no / BIC code: Bank name
Bank address: Country Postcode:
Invoice address, if different: City / town: Country:
Postcode: Contact title: Contact forename: Contact surname:
Tel no: Fax no: Email:  
 

Your fleet & drivers

Total no. of trucks: No. of trucks with winches: No. covered trucks: Average age of fleet:
If applicable, total no. of plating drivers: How many of them are qualified "Inspect&collect" drivers?
Truck size Qty Truck size Qty Truck size Qty Truck size Qty
1 car 4-5 car 9 car 11 car
2-3 car 7-8 car 10 car 12+ car
Can you carry unusual loads (example: Mobile Homes, Tractors, Motorbikes etc…)?
Are all vehicles/drivers equipped with mobile phones? Yes No
Do all drivers have high viz clothing (en 471 classs 2 standard)? Yes No
Do all drivers have and wear approved safety footwear? Yes No
Do your staff wear corporate uniforms? Yes No
Do you have ISO 9000 accreditation? Yes No
Do you have ISO 14001 accreditation? Yes No

UK carriers only

Do you have pass 43 accreditation? Yes No Are drivers members of the T.G.W.U? Yes No
Are you member of the car council? Yes No Your operator "O" licence number:

Please tell us how you heard of VMEX:

If other, please specify:


Completed by:
Title/Position:
Date:

On completion of the form, a copy will be emailed to you. In order to complete your application, please check the details and return it with a signed copy of the appropriate Terms & Conditions.

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