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Trade Application Form

If you would like to apply for a trade credit account please use the form below.

Fields marked marked with an asterisk(*) MUST be completed.

     
Title    
First Name    
Last Name*  
Address*    
     
Town/City*    
County*    
Postcode*    
Country    
     
Telephone:*    
Mobile:    
Facsimile:    
Email:*    
   
Business Details
   
Company Name:*  
Address:*    
     
Town/city:*  
County:*  
Postcode:*  
Country:  
Organisation type  
Sole trader:  
Partnership:  
Limited company:  
Other (specify):  
Business type:*  
Date established:*  
VAT Number:*  
Parent Organisation:  
Company Registration number:*  
Registered address:*  
Name and address of owner/partner 1:*  
Name and address of owner/partner 2:  
Name and address of directors (if trading for less than 2 years):  
   
    Please provide details (name, address and telephone number) of two trade references.
Trade reference 1:*  
Trade reference 2:*  
Bank Details
Type of account:*  
Name and address of bank:*  
Account number:*  
Sort code:*  
Accounts Contact Details
Name:*  
Telephone:*  
Facsimile:  
Email:  
   
I/we accept and agree to comply with your terms and conditions and payment terms.

I/we give consent to a credit check being made on me/us as owner/partner(s) or director(s)
of this organisation both now and at any future date. I/we understand that this search may
be recorded by the agency and may be disclosed to subsequent enquirers.

I/we accept*    
   
   
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before submitting this form.
   
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