Open Account

Application for a Credit Account
Please complete all applicable fields
Company Information
Name & Trading Style:
Address:
Postcode:
Telephone No:
Fax No:
Company Reg. No:
VAT No:
Other trading names:
Contact name in Accounts:
Email:
Preferred method of payment:	Cheque BACS
Estimated monthly trade:
Please confirm the above address is also the billing address:	Yes No
If no, please detail billing address:
If your business is not a Limited Company, please provide the full names(s) and address(s) of the Proprietor/Partners:
If subsidary/ part of a group of companies, please also state parent companies full name and address:
Trading Information
Please provide 2 UK Trade References
Company Name 1:
Address:
Telephone No:
Fax No:
Period with this supplier:
Goods Supplied:
Company Name 2:
Address:
Telephone No:
Fax No:
Period with this supplier:
Goods Supplied: