Apply for a Trade Account

Company Name: (*)

Invoice Address: (*)

County/State: (*)

Postcode/Zip code: (*)

Company Registration: (*)

Delivery Address (if different):

Trade Name (if different):

Trade Address (if different):

Main contact

Contact Name: (*)

Tele No: (*)

Fax No:

Email Address: (*)

Accounts department (if different from Main contact)

Accounts Dept Contact:

Accounts Dept Tele No:

Accounts Dept Fax No:

Accounts Dept Email:

VAT NO (If you are not a VAT registered company, please enter N/A in the box): (*)

If you are not a VAT registered company, please enter N/A in the box

Web Address:

Nature of Business: (*)

Second Partner Detail

Main Partner Name & Address:

Second Partner Name & Home Address:

If partnership or Sole Trader and would like to apply for a credit account please fill in the bank details below

Bank Name & Address:

Sort Code:

Account No:

Name of Account/Holder:

How did you hear about us?: (*)