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Business Account Application Form
Important: Please complete all sections in full and read the notes in blue carefully. We will notify you of a decision via e-mail within 2 business hours. (Further Instructions)
1. User Information
This Business Account Application request is from who is authorised to request credit facilities and place orders on behalf of . This information will be verified.
2. Trading Information
Full Registered Title:
Trading Address Line 1:
Trading Address Line 2:
City/Town:
Post Code:
Telephone
Fax
Time At This Address years months
Trading For years months
3. Registered Company Information
These details are NOT always the same as your trading details. They are found on your letter headed paper. If you are still not sure please contact your accounts department.
Use Trading Information As Above?
Full Registered Title:
Registered Address Line 1:
Registered Address Line 2:
City/Town:
Post Code:
Telephone
Fax
Registration No
Registration Date
4. Billing Address
Use Trading Information As Above?
Address Line 1:
Address Line 2:
City/Town:
Post Code:
Telephone
Fax
5. Billing Contact
We require the details of the contact who will make payments on your account.
First Name
Last Name
Email
Direct Telephone
Direct Fax
6. Bank Details
Bank
Account Name
Sort Code
Branch
7. General Information
MD/CEO Name
Nature Of Business
No Of Employees
Website Address
Monthly Credit Required (£)
Additional information that may
affect your eligibility for credit
(recently moved address,
change of ownership etc.)
8. Partnerships Details - Only for completion by Sole Traders or Partnerships
Partner 1
Name
DOB
Home Address Line 1
Home Address Line 2
Town/City
Post Code
Telephone
How long at this address years months
Partner 2
Name
DOB
Home Address Line 1
Home Address Line 2
Town/City
Post Code
Telephone
How long at this address years months
9. Terms and Conditions
PAYMENT IS DUE 30 DAYS FROM INVOICE DATE.

Completion of this form does not necessarily indicate that a credit facility will be granted. Should there be any issues, we will contact you.

This credit application is subject to the Terms of Business of the Web Site.

Non-Adherence to these Terms & Conditions will result in the credit facility being withdrawn and late payment charges will be incurred in relation to Late Payment of Commercial Debts (Interest) Act 1998.

We will make a search with a credit reference agency which will keep a record of that search and may share that information with other businesses. We may also make enquiries about the Principal Directors with a Credit Reference Agency.
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