APPLICATION FOR CREDIT FACILITIES

BUSINESS DETAILS Fields marked (*) are required
Legal Name of Applicant:*
Full Trading Name of Applicant:*
Full Address:*
Post Code:*
Telephone Number:*
Fax Number:*
Email Address:*
Vat Number:*
Partnership
SoleTrader
Full Names of all Directors / Partners / Proprietor:*
If a Company, Company Registration Number:
If a Subsidiary, Name of Parent Company:
How Long in Business or Trading :*
Type of Business Conducted:*
Are you Prepared to Submit your most Recent set of Audited Accounts to us?:
Address to which Invoices/Statements should be sent:*
Amount of Monthly Credit Required:*
 £
BANK DETAILS  
Company Banker:*
Branch Address:*
Sort Code:*
Account Number:*

TRADE REFERENCES

  
Please provide full name and addresses of two trading references
Reference1
  
Name:*
Address:*
Telephone Number:*
Fax Number:*
Reference2
  
Name:*
Address:*
Telephone Number:*
Fax Number:*
Please provide a copy of your company letter heading or alternative proof of trading style.
In the event that we can grant credit facilities, please confirm your agreement to conduct trading within our term payment, which are 28 days from date of delivery.
Position:*
Name:*
Print Current Page for your records

Data Protection Act
To comply with the requirements of the above Act, we are required to obtain your consent that we may seek, hold and process any Information about you for the purpose of this application, the conduct of any credit granted and any future agreements you or your company may have with us.

In addition, we may disclose this information to suitable third parties in the normal conduct of business, for instance to credit referenence agencies.

By signing this form you consent to the processing of personal data in accordance with the Act. Under the provisions of the Act you of course, are entitled to view these records by request.