Credit Account Application Form.

Which department/s do you plan on using?

HB Parts HB Service HB Rentals HB Sales HB Tyres

Have you used HB Commercial before?

Yes No

How often do you plan on using HB Commercial for products or services?

Daily Weekly Monthly Other

Company Name

Address

Street Address

Street Address Line 2

City County

Postcode

Company Type

Limited Company Partnership Sole Trader Public Limited Company Other

Name of person responsible for business: 1

First Name Last Name

Name of person responsible for business: 2

First Name Last Name

Is Home/Trading address different to above?

Yes No

Home/Trading Address

Street Address

Street Address Line 2

City County

Postcode

Is the Accounts address different to above?

Yes No

Accounts Address

Street Address

Street Address Line 2

City County

Postcode

Accounts Email Address

example@example.com

Accounts Phone Number

Accounts Contact Name

First Name Last Name

Director/Proprietor 1

First Name Last Name

Director/Proprietor 2

First Name Last Name

Type of Business

Company Registration Number

Year Registered

Number of Vehicles

Years Trading

Estimated Monthly Credit Required

Bank Account Name

Bank Account Address

Street Address

Street Address Line 2

City County

Postcode

Account Number

Sort Code

Trade Reference 1 Company Name

Contact Name

First Name Last Name

Trade Reference 1 Address

Street Address

Street Address Line 2

City County

Postcode

Phone Number

Email

example@example.com

Trade Reference 2 Company Name

Contact Name

First Name Last Name

Trade Reference 2 Address

Street Address

Street Address Line 2

City County

Postcode

Phone Number

Email

example@example.com

Our payment terms are 30 days nett. If payment is not received within 45 days, credit facilities will be withdrawn. In the event of the Company being unable to pay HB Commercial Ltd for whatever reason, we have the right to pursue the Director for monies owing to us.

I/We agree to the above terms and conditions.

Yes No

Signature

Clear

Name

First Name Last Name

Position in Company

Date

Please upload a copy of your Company Letterhead.

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Contact @ HB Commercial

First Name Last Name

Credit Account Application Form.

Company Information.

Trade References.