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Credit Account Application
IMPORTANT NOTE: Orders will not be able to be invoiced to an open account until your application is approved. You may save an in-process order until your account has been approved, or pay with a credit card. Please allow up to 1 business day for your online account to reflect "Allow Terms" as a invoice option.

Please complete this application in full. If you have any questions, call 0800 66 33 55.
Credit Information
Credit Amount Requested
Business Information
Company Name
Trading Name .
Postal Code
Company Reg No
How would you like invoices, statements and letters be sent?
Has the firm or any of it's Principals ever been bankrupt?
Yes No
If yes, explain.
Ownership Information
Sole Ownership Partnership Linited Public Limited
Owner Name
Owner Title
Years In Business
PLC Company Director
Credit Terms Requested
Terms Length EOM 30 days
Trade References
Provide two suppliers of major products or services.
Reference 1
Company Name
Company Phone
Company Fax
Reference 2
Company Name
Company Phone
Company Fax
Bank References
Account No.
Bank Name
Bank Telephone Number
Bank Fax Number

Applicant agrees to pay any collection and legal fees incurred to collect unpaid balance, including interest on the unpaid balance as per our terms and conditions. The undersigned as an inducement to grant credit warrants that the information submitted is true and correct. You are authorized to investigate the credit references listed above. In addition a credit eport will be obtained.

By clicking submit application you are aggreing to our terms and conditions.

Applicant's Name
Today's Date 24/03/2017

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