Credit Application

Please complete and submit the below form. Please read and retain a copy of the terms and conditions of sale.

Your business details

Company name Required

Trading name

Address Required

Telephone number Required

Company website

Your name Required

Job title

Contacts

Accounts contact Required

Accounts email Required

Purchasing contact

Purchasing email

Company details

Company registration number

VAT registration number

Established since

Credit limit required Required

Declarations

Have any of the Directors/Partners or Sole Trader been subject of bankruptcy or IVA or had any CCJs registered against them? Required

Yes No

If a Director, have you been involved in a business which went into liquidation/receivership/administration or CVA? Required

Yes No

I have read and agree to the terms and conditions of sale. Required

Thank you