Trade Application

CONTACT INFORMATION

Your Name

Title

Email

Phone

BUSINESS INFORMATION AS REGISTERED

Company Name

Phone

Address

City

County

Postcode

Length of Time at Current Address

Type of Business
Sole ProprietorshipPartnershipLLCCorporationOther
Company Reg. No.

VAT Reg. No.

DELIVERY ADDRESS (IF DIFFERENT FROM ABOVE)

Company Name

Address

City

ACCOUNTS DEPARTMENT DETAILS

Contact Name

Phone

Email

BANK INFORMATION

Bank Name

Phone

Address

City

County

Postcode

Savings Account Number

Checking Account Number

Other Account Number

BUSINESS REFERENCES

Please provide at least two companies your business has established credit with previously:

Reference 1

Company

Contact Name

Phone

Email

Address

City

County

Postcode

Reference 2

Company

Contact Name

Phone

Email

Address

Title

City

County

Postcode

CREDIT AGREEMENT

1. All invoices must be paid within 30 days of the date issued.
2. Any claims regarding an invoice issued must be made within 7 days of the date issued.
3. You authorise inquiry into the banking and business references provided within this application.

I AGREE

COMPANY REPRESENTATIVES

Signature

Date

Title

Name

Notes & Comments