If you wish to apply for a credit account please complete the following form:
Company Name
*required
Trading Address
Post Code
Directors Names
Telephone Number
Fax Number
Email Address
Registered Number
VAT Number
Type of Company
Private Limited Company Public Limited COmpany Partnership Sole Trader *required
Accounts Office Address (if different from above)
Contact
Position Held
Anticipated Monthly Expenditure
£0 - £250 £251 - £500 £501 - £1000 £1001 - £2500 £2501 - £5000 £5000 + *required
Name of Bank
Address:
Postcode
Bank Account Number
Bank Sort Code
Address
Contact Name
I would like to request credit facilities of 30 days. You may contact the reference above to assess our credit.