Apply for a Credit Account

Credit Account Application Form

Section 1

Trading Name*

Nature of Business*

Full Name*

Full Trading Address*

Registered Office Address (if different)

Company Registration Number*

Year business started*

Telephone No.*

Fax No

Email*

Section 2 (non limited only)

Type of Organisation

Name

Home address of owner/partner

Years at present address

Telephone No.

Section 3

Full name of trade reference (1)*
Address of trade reference (1)*

Full name of trade reference (2)
Address of trade reference (2)

Are order numbers required*

Name of Bank*

Address of Bank*

Account name*

Account number*

Sort code*

Credit limit required*

Declaration by Applicant seeking credit on behalf of a business

Name*

Date*

Position*

I have read and understand the Terms & Conditions*