Trade Application

1. Company Details

Company Name

Telephone Number

Website Address

Registered Address

Invoice Address

Name of Finance Director

Email of Finance Director

Type of Company

Company Reg No

VAT Registration No

Year Company Formed

2. Invoicing Details

Invoice Contact Name

Email Address to send Invoices

Accounts Payable Contact Name

Accounts Payable Contact Number

Accounts Payable Email Address

Amount of Credit Requested per Month?

3. Delivery Address (if different to invoicing address

Company Name

Delivery Address

4. Bank Details

Name

Address

A/C Name

A/C Number

Sort Code

5. Trade References (for non Limited companies)

Reference 1 Company Name

Reference 2 Company Name

Reference 1 Address

Reference 2 Address

Reference 1 Phone Number

Reference 2 Phone Number

Reference 1 Email

Reference 2 Email

THIS SECTION FOR SOLE TRADERS OR PARTNERSHIPS ONLY

Please state name(s) and private address(es) of Sole Trader/Partners. For Partnerships, please state this for each every Partner.

1. Name / Address inc Postcode

2. Name / Address inc Postcode

Must be signed by a director or the proprietor of the company

Name

Position

Terms of Conditions
Check here if you accept the conditions of sale

Authorised Signature(s)

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