Application for Credit Account

Business Name

Contact Name (Accounts)

Contact Name (Purchasing)

Phone Number

Email

Website

Address Line 1

Address Line 2

City

Postcode

Date Established

Registered Number

VAT Number

Nature of Business

Business Type

Limited Company

Sole Trader

Partnership

Name & Private Addresses of Partners. (if not a limited company)

Name

Address

Name & Address of TWO companies currently supplying you:

Business Name

Address

Email

Phone

Estimated Annual Purchases from us (£)

Credit Limit Requested (£)

Bank Account Name

Bank Name

Sort Code

Account Number

Branch Address

Signiture(s)

Printed Name

Date

Position Held

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