Trade Account Application Form

Credit/Cash Trade Account Application Form

Section 1

*Cash Trade Account - Complete Section 1 Only

Company Name*

Trading Address*

Postcode*

Phone Number*

Mobile Number

Email Address*

VAT Number*

Length of Time in Business*

Sale Contact*

Section 2

Type of Business

*Limited Companies Please Complete Below

Registered Office Address

Postcode

Phone Number

Company Reg Number

Name

Address

Postcode

** Sole Traders or Partnerships Please Complete Below

Name

Address

Postcode

Section 3

If Credit Trade Account Requested

Account Contact Name

Email Address

Amount of Credit Required

Section 4

Trade References (If Credit Trade Account Requested)
Reference 1

Company 1

Address 1

Phone number 1

Reference 2

Company 2

Address 2

Phone number 2

Section 5

Bank Details (If Credit Trade Account Requested)

Sort Code

Account Number

Name & Address

Postcode

Please leave this field empty.

By completing this credit account application form I/we are agreeing to your standard terms and conditions of sale and agree to pay your invoices as agreed or when the balance of the account reaches the credit limit as set by you.
I/we understand that you may authorise a search through credit reference agencies as part of the application.

Yes, I Agree

Beeston

01156 486386

Beeston
Unit 37 Evelyn Street,
Beeston,
NG9 2EU

Chesterfield

01246 268822

Chesterfield
Unit 20 Whitting Valley Road,
Old Whittington,
Chesterfield,
S41 9EY

Loughborough

01509 231114

Loughborough
Unit 13 Prince William Road,
Loughborough,
LE11 5GU

Swadlincote

01283 208422

Swadlincote
Unit C8 Optimum Business Park,
Optimum Road,
Swadlincote
DE11 0WT

Free Skip Use

Free Local Delivery

Sustainability Conscious

Exceptional Service

Industry Expertise

Free Skip Use

Free Local Delivery

Sustainability Conscious

Exceptional Service

Industry Expertise

Trade Account Application Form

Beeston

Chesterfield

Loughborough

Swadlincote