UK: +44 (0) 1407 760232
ROI: +353 (0) 1 856 0811

Credit Application

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:

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