Account Application

Applicant Details

Trading Title/Name:
Head Office Address:
Trading Address
(if different to above):
Telephone Number:
Fax Number:
Email Address:
VAT Registration Number:
Name of Managing Director:
Name of Company Secretary:
Number of Years Trading:
Credit Limit Required in £:

Legal Structure

Sole Trader: Partnership: Incorporated Company: Other (please specify):
If Incorporated Company then give Registered Address:
Company Registration Number:
Date Of Incorporation:
If Sole Trader or Partnership then give Name(s) and private Address(es):
Telephone Number:
How many years at this Address:

Person Responsible For Account Payments

Name & Title:
Telephone Number (Including Extn):
Fax Number:

Bankers

Name & Address of Bankers:
Sort Code:
Telephone Number:
Account Number:
Date Account Opened:

Trade References (1)

Company:
Address:
Contact:
Telephone Number:
Date Account Opened:
Annual Value of Credit:

Trade References (2)

Company:
Address:
Contact:
Telephone Number:
Date Account Opened:
Annual Value of Credit:
Alternatively, please complete and return the PDF