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Trade Account Application Form

Fill in the form below and then click Submit, to send us your application form.

1. Business name:
Business address:
Postcode:		VAT Reg Number:
Telephone Number:		Email address:

2. IF YOU ARE A LIMITED COMPANY
a) Address of registered office:
Postcode:		Company registration number:

3. IF YOU ARE NOT A LIMITED COMPANY, NAME & PRIVATE ADDRESSS OR PROPRIETOR (if a Partnership please give details of all partners)
a) Name		Address:
Postcode:		Telephone number:
b) Name		Address:
Postcode:		Telephone number:
c) Name		Address:
Postcode:		Telephone number:

4. HOW LONG HAS THE BUSINESS BEEN TRADING?

years

months

5. HOW LONG HAS THE BUSINESS BEEN TRADING UNDER YOUR OWNERSHIP?

years

months

6. PLEASE ESTIMATE THE AMOUNT OF CREDIT REQUIRED EACH MONTH

£

7. TRADE REFERENCES (please name two businesses with whom you hold credit accounts)
a) Contact Name within company:		Company Name:
Company Address:
Postcode:		Telephone Number:
b) Contact Name within company:		Company Name:
Company Address:
Postcode:		Telphone Number:

8. BANK DETAILS (the name, address and sort code of your bank please)
Bank Name:		Bank Address:
Sort Code:		How long has the account been open? years   months

	Please enter the characters you see above in the box below to validate this form.
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