Credit Account Application

YOUR BUSINESS DETAILS

COMPANY/TRADING NAME:

LIMITED COMPANY:

COMPANY ADDRESS:

TEL NO:

MOBILE NUMBER:

FAX NO:

EMAIL:

LENGTH OF TIME AT ADDRESS:

YEARS:

MONTHS:

MAIN POINT OF CONTACT:

TEL NO:

EMAIL:

ACCOUNT CONTACT:

ACCOUNTS EMAIL:

LIMITED COMPANIES ONLY

COMPANY REGISTRATION NUMBER:

DATE OF INCORPORATION:

VAT NUMBER:

PARENT COMPANY:

SOLE PROPRIETOR/PARTNER/DIRECTOR DETAILS

NAME:

DATE OF BIRTH:

HOME ADDRESS:

POSTCODE:

TEL NO:

MOBILE NO:

PREVIOUS ADDRESS IF LIVED AT CURRENT PROPERTY FOR LESS THAN 5 YEARS:

POSTCODE:

NAME 2:

NAME:

DATE OF BIRTH:

HOME ADDRESS:

POSTCODE:

TEL NO:

MOBILE NO:

PREVIOUS ADDRESS IF LIVED AT CURRENT PROPERTY FOR LESS THAN 5 YEARS:

POSTCODE:

NAME 3

NAME:

DATE OF BIRTH:

HOME ADDRESS:

POSTCODE:

TEL NO:

MOBILE NO:

PREVIOUS ADDRESS IF LIVED AT CURRENT PROPERTY FOR LESS THAN 5 YEARS:

POSTCODE:

TRADE REFERENCE 1

COMPANY NAME:

COMPANY ADDRESS:

COMPANY ADDRESS 2:

TEL NO:

CREDIT LIMIT: £

TRADE REFERENCE 2

COMPANY NAME:

COMPANY ADDRESS:

COMPANY ADDRESS 2:

TEL NO:

CREDIT LIMIT: £

CREDIT LIMIT REQUIRED

£

BANK DETAILS

BANK NAME:

ADDRESS:

POSTCODE:

BANK ACCOUNT NO:

SORT CODE:

AGREEMENT TO TERMS AND CONDITIONS

Please read the attached Terms & Conditions and complete all sections of the application before signing the section below.

Please supply one of the following as proof of identification:

Maximum file size: 10MB

Limited Company: Company letterhead
Sole Traders/Partnerships: Proof of your home address, such as a bank, building society or credit card statement, or a recent utility bill

SIGNED:

Clear

PRINT NAME:

POSITION:

DATE:

SIGNED:

Clear

PRINT NAME:

POSITION:

DATE:

RESPECTING YOUR PRIVACY

If you open an account we may search the files of credit reference agencies who will record the search, and we may share that information about the way in which you conduct your account with other lenders and with credit reference agencies. If you do not wish us to carry out such a search then please do not complete this form. We may need to disclose your information to our agents.
We will record your purchasing preferences and may use your information for marketing. We may pass your information to our group companies or other carefully selected third parties and we, or they may wish to contact you with offers of goods or services which may interest you. We will only do this If You do not object below to us doing so.

1. Please tick here if you do not want us to contact you with information about goods and services which we feet may be of interest to you by;

Email

Phone

Text

Post

2.

Please tick here if you do not want us to disclose your personal data to selected third parties, so that they can provide you with Information about their goods or services

Under the Data Protection Act, you have the right to apply for a copy of the information we hold on you (for which we may charge a small fee).