Credit Application

Application form to open a credit account

Download a PDF Version of our credit application form

or

Enter your details into our online form:

Please answer all questions fully. This will be sent automatically to our sales office.

Trading Name:
Trading Address:
Telephone:
Fax:
Directors:
Co. Reg. No.:
No. of years in Business:
VAT Reg. No.:
If part of group please name ultimate holding company:
Approximate amount of monthly credit required:
Invoice address if different from above:
Statement address if different from above:
Do you require P.O.D.'s with invoice?
YES NO
POD address if different from above:
Trade references (not including oil or tyre companies):
PLEASE SUPPLY NAME, PHONE NO., FAX No. ONLY
1)
2)
3)
Bankers:
Sort code:
Account No.:
Name of person who originates payments:
Does your company operate on B.A.C.S.?
YES NO
** ACCOUNTS PAYABLE WITHIN 30 DAYS OF INVOICE DATE UNDER BIFA 2005 TERMS & CONDITIONS **
 
Name of person responsible for Health & Safety:
Contact Name
Email Address


Please enter your details
Contact Name:
Position:
Email address: