Peter Bassett Ltd Account Form

Online Account Form

Peter Bassett Ltd
Enjoy access to over 500,000 agricultural parts and accessories.
Company name*
Name*

First NameLast Name
Email*
example@example.com
Phone number*
Address *

Address line 1

Address line 2

City County

Postcode
Industry*
Certification for professional use of rodenticides

YesNo
Do you already have a credit account with Peter Bassett Ltd?*

YesNoI'm not sure, please check for me
CREDIT ACCOUNT APPLICATION

In order to open a credit account with Peter Bassett Ltd, we need the following information about your business. This information will be used to run a credit check and it is necessary to trade with Peter Bassett Ltd, including via an online account.
VAT NUMBER
Year established
Type of business*
Are you the main person responsible for your financial accounts in your business?*

YesNo
Please indicate the full name of the main person responsible for your financial accounts. *
Accounts name
Please indicate the phone number of the main person responsible for your financial accounts. *
Accounts phone number
Please indicate the email of the main person responsible for your financial accounts. *
Accounts email
Should we email you your invoices and statements?*

YesNo
Bank name
Bank address

Street Address

Street Address Line 2

CityCounty

Postcode
Credit limit required*
Persons authorised to book items to your account*
I would like to receive future communications and special offers from Kramp and Peter Bassett Ltd.*
Should be Empty:

Online Account Form