Credit Account Application

Business Name

Business Address


Your Email (required)

Company Registration Number

VAT Number

Year Business Established

Name and Address of Bank

Telephone Number (accounts)

Fax Number (accounts)

Contact (accounts)

Name of Authorised Signatory (required)

If Sole Trader or Partnership


Home Address

I/We confirm that the information given in the Credit Account Application Form is in all respects true and accurate
I/We confirm that I/We have read and understood your terms and conditions of sale/business and I/We unconditionally accept that those terms and conditions shall be the only ones that apply to all sale contracts which I/We may conclude with you.

Data Protection Act 1998 Notice
Where I/We provide you with personal data ("data"), I/We understand that the data will be held securely in confidence processed for the purpose of carrying out your business and associated activities ("Activities"). In considering my/our application, I/We accept that you may consult with and disclose the data to credit reference agencies, banks, credit insurers and other responsible organisations outside your business that you have nominated ("third parties") and that such third parties may process the data. I/We understand that under the Act I/We have the right to know what data you hold on me/us, if I/We apply to you in writing and pay the applicable fee.

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