Trade Account Application

Trading Name*

Company Status*

Private Address*

How many years has the company been trading?*

Registered Name (If Limited)*

Registered Number (If Limited)*

Director Name*

Private Address*

How long has the Director lived at this address? ( If less than 3 years, please enter previous address)

Address*

Postcode*

Telephone Number*

Fax Number

Contact Name*

Contact Position*

VAT Registration Number (If Applicable)

Nature of your Business

Have you ever been refused credit?

Accounts Contact Name*

Accounts Contact Telephone Number*

Buyer Contact Name

Buyer Contact Telephone Number

Buyer Contact Position

Email Address where Invoices can be sent*

If this is not possible, please provide postal address to which the invoices can be sent?

Do you require your order number on invoices?

Can we process an order without written confirmation?

First Trade Reference Name*

Address*

Postcode*

Telephone Number*

Fax Number

First Trade Reference Name*

Address*

Postcode*

Telephone Number*

Fax Number

State amount of monthly credit*

Full Name*

Home Address*

Postcode*

Is your company part of a larger group?

Is your company involved in exporting?