TRADE ACCOUNT - CUSTOMER CREDIT APPLICATION FOR TRADE ACCOUNT

Please either download, complete, scan in and upload the trade credit account application form to the right or complete the form below.

Please upload completed application form here:

Name:

Company:

Label:

Click image to download form

EITHER DOWNLOAD THE ABOVE PDF FORM, COMPLETE, SCAN AND RE UPLOAD OR COMPLETE THE FORM BELOW

Business Contact Information

Business Name:

Business Phone:

Business Fax:

Business Address:

Business City:

Business County:

Business Post Code:

Contact Name:

Contact Email:

Business Type:

Sole Trader

Partnership

Limited

Other

Years in Business:

Business Credit Information

Bank Details

Bank Name:

Bank Address:

Bank City:

Bank County:

Bank Post Code:

Business / Trade Reference #1

Company 1 Name:

Contact 1 Name:

Company 1 Address:

Company 1 City:

Company 1 County:

Company 1 Post Code:

Contact 1 Phone:

Contact 1 Email:

Contact 1 Fax:

Business / Trade Reference #2

Company 2 Name:

Contact 2 Name:

Company 2 Address:

Company 2 City:

Company 2 County:

Company 2 Post Code:

Contact 2 Phone:

Contact 2 Email:

Contact 2 Fax:

Business / Trade Reference #3

Company 3 Name:

Contact 3 Name:

Company 3 Address:

Company 3 City:

Company 3 County:

Company 3 Post Code:

Contact 3 Phone:

Contact 3 Email:

Contact 3 Fax:

Business / Trade Reference #4

Company 4 Name:

Contact 4 Name:

Company 4 Address:

Company 4 City:

Company 4 County:

Company 4 Post Code:

Contact 4 Phone:

Contact 4 Email:

Contact 4 Fax:

Agreement

1. All invoices are to be paid 30 days from the date of Invoiced.

2. Any claims arising from invoices must be made within seven working days of receipt of invoice.

3. By submitting this application, you authorise us to make inquiries into the banking and business/trade references that you have supplied

Agreed By (If dual signatories on account plaease complete both columns)

Name:

Title / Position:

Date:

Name:

Title / Position:

Date:

Please confirm:

I/we agree to points 1, 2 and 3 above