Sales Account Application Form

Company Name/Trading Title:______________________________________________________ 
Address:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Tel.No.s: ______________________________________________ Fax No.___________________
Mobile No.s:______________________________ Email:_________________________________
Website:_________________________________________________________________________

Type of Business: Ltd / PLC/ Sole Trader/ Partnership
Nature of Business:________________________________________________________________
Company Registration No: _______________ Date of Incorporation:_____________
VAT No: ________________

Names of Directors/Proprietors______________________________________________________
Purchase Contact:_______________________ Accounts Contact:__________________________

Credit Limit Required £:________________ Estimated Annual Spending £: ________________

Bank Name/Address: _______________________________________________________________
__________________________________________________________________________________
Account No: ____________________ Sort Code:_____________

Trade Reference 1:				 
Name:___________________________________________________________________________ Address:__________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________
Tel. No:_____________________________ Fax No._______________________________________

Trade Reference 2:				 
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Tel. No: ______________________________________ Fax No.____________________________

In processing your application for credit facilities we may make enquiries of credit reference agencies or other third parties who may record those enquiries. We may also disclose information about the conduct of your account with us to credit reference agencies or other third parties. The information obtained from or provided to credit reference agencies or other third parties may be used when assessing further applications for credit terms, for debt collection, for tracing and for fraud prevention.
I agree that a credit check may be performed and I agree to adhere to the terms and conditions of sale and to the terms of payment (Payment by end of month following invoice date):

Signature (Director/Partner):______________________Print Name:______________________
     Date:_______________________