APPLICATION FOR CREDIT ACCOUNT

APPLICATION FOR CREDIT ACCOUNT
Aqua House, Buttress Way, Smethwick, West Midlands B66 3DL

Sales 0121-555-7167 - Accounts 0121 555 1023 Sales 0121-555-7168 - Accounts 0121 555 8485
Thank you for beginning the process to apply for a credit account. You will first need to upload your company letterhead.
File Upload

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COMPANY NAME
TRADING AS
(If applicable)
INVOICING ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
STATEMENT ADDRESS (If Different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
COMPANY REGISTRATION. NO.
VAT REGISTRATION NO.
Trading Style ( Tick Box)
Limited CompanyVentureJointOther
If other please specify
NAMES OF EXECUTIVES
MANAGING DIRECTOR
FINANCE DIRECTOR
COMPANY SECRETARY
NAME & ADDRESS OF PARENT COMPANY (IF APPLICABLE)
NAME
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YEARS IN BUSINESS
BUSINESSS SECTOR
CAN YOU PROVIDE A PARENT BODY GUARANTEE IF REQUIRED
CURRENCY
EUROUS
VAT EXEMPTION STATUS

PLEASE TICK THE BOX BELOW IF YOU ARE EXEMPT FROM PAYING UK VAT
In the event you are exempt from VAT in the UK, a copy of your VAT Exemption Certificate must be enclosed with this application.
Please upload a copy of your VAT Exemption Certificate

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CONTACT INFORMATION
ORDERS AND PURCHASING (SUPPLIER MANAGEMENT)
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: 00000000000.
Fax Number
Please enter a valid phone number.Format: 00000000000.
ACCOUNTS PAYABLE (PURCHASE LEDGER)
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: 00000000000.
Fax Number
Please enter a valid phone number.Format: 00000000000.
Company WebSite Address
Electronic Invoicing (Tick Box)
EMAIL ADDRESS FOR INVOICES AND STATEMENTS
example@example.com
YOUR BANK DETAILS
NAME
ACCOUNT NAME
BANK ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SORT CODE
ACCOUNT NUMBER
TRADE REFERENCES
REFERENCE 1
ORGANISATION NAME
CONTACT NAME

First NameLast Name
ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE NUMBER
Please enter a valid phone number.Format: 00000000000.
REFERENCE 2
ORGANISATION NAME
CONTACT NAME

First NameLast Name
ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE NUMBER
Format: 00000000000.
CREDIT DETAILS
REQUESTED CREDIT LIMIT
FUTURE GARMENTS NO LONGER ACCEPTS CHEQUES AS METHOD OF PAYMENT PLEASE CHECK THIS BOX TO INDICATE YOU AGREE TO BACS PAYMENT . Our bank details will be forwarded to your Accounts Payable contact on opening your credit account.TO HELP US AAPPROVE YOUR CREDIT LIMIT PLEASE CHECK THIS BOX IF YOU HAVE ALREADY DISCUSSED YOUR FORECASTED AND HISTORICAL USAGE WITH A MEMBER OF OUR BUSINESS DEVELOPMENT TEAM
PAYMENT TERMS 30 DAYS NETT ( UNLESS OTHERWISE AGREED IN WRITING )
TERMS AND CONDITIONS
Signature*
NAME
POSITION HELD
PLEASE NOTE THIS DOCUMENT MUST BE SIGNED BY ONE OF THE EXECUTIVES DETAILED EARLIER WITHIN YOUR APPLICATION
DATE

MonthDayYear
Date
Should be Empty:

APPLICATION FOR CREDIT ACCOUNT

Thank you for beginning the process to apply for a credit account. You will first need to upload your company letterhead.

Trading Style ( Tick Box)

NAMES OF EXECUTIVES

CURRENCY

VAT EXEMPTION STATUS

CONTACT INFORMATION

ORDERS AND PURCHASING (SUPPLIER MANAGEMENT)

ACCOUNTS PAYABLE (PURCHASE LEDGER)

YOUR BANK DETAILS

TRADE REFERENCES

REFERENCE 1

REFERENCE 2

CREDIT DETAILS

PAYMENT TERMS 30 DAYS NETT ( UNLESS OTHERWISE AGREED IN WRITING )

TERMS AND CONDITIONS