Credit Account Application Form.

Credit Account Application Form.
Which department/s do you plan on using?
Have you used HB Commercial before?
How often do you plan on using HB Commercial for products or services?

Other
Company Name
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Company Type

Other
Name of person responsible for business: 1

First NameLast Name
Name of person responsible for business: 2

First NameLast Name
Is Home/Trading address different to above?
Home/Trading Address

Street Address

Street Address Line 2

CityCounty

Postcode
Is the Accounts address different to above?
Accounts Address

Street Address

Street Address Line 2

CityCounty

Postcode
Accounts Email Address
Accounts Phone Number
Accounts Contact Name

First NameLast Name
Company Information.
Director/Proprietor 1

First NameLast Name
Director/Proprietor 2

First NameLast 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

CityCounty

Postcode
Account Number
Sort Code
Trade References.

Fuel Suppliers are not acceptable as references
Trade Reference 1 Company Name
Contact Name

First NameLast Name
Trade Reference 1 Address

Street Address

Street Address Line 2

CityCounty

Postcode
Phone Number
Email
example@example.com
Trade Reference 2 Company Name
Contact Name

First NameLast Name
Trade Reference 2 Address

Street Address

Street Address Line 2

CityCounty

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 If payment is not received within 45 days, credit facilities will be withdrawn.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.
Signature
Name

First NameLast Name
Position in Company
Date

DayMonthYear
Date
Please upload a copy of your Company Letterhead.

Cancelof
Contact @ HB Commercial

First NameLast Name
Should be Empty:

Credit Account Application Form.

Company Information.

Trade References.