TRADE ACCOUNT APPLICATION FORM

Invoicing Information
Is your Invoicing address*

the same as your home addressthe same as your trading addressa different address to the above
Is your Invoicing address*

the same as your trading addressthe same as your registered office addressa different address to the above
Invoicing Address*

Street Address

Street Address Line 2

CityCounty

Postal Code
Invoicing Email*
example@example.com
Is your sales statement email the same as your invoicing email above?*

YesNo
Sales Statement Email*
example@example.com
Accounts Contact Name*
Accounts Contact Phone Number*
Please enter a valid phone number.
Accounts Contact Email*
example@example.com

Bank Account Information
Bank*
Bank Address (town/city)*
Account Name*
Account Number*
Account Sort Code*
Type a question*

I authorise AE Faulks Ltd to contact our bank to verify that the bank details are correct.

Trade References

Please supply below details of two plant or tool hire companies we can approach to obtain credit references. These should be current suppliers who extend credit to at least the same amount as your current application. These companies should not be connected with you or your company in any way, other than a normal trading relationship. Please note that without two satisfactory trade references the application can not be processed.
Trade Reference 1
Company Name*
Trade*
Contact Name*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Trade Reference 2
Company Name*
Trade*
Contact Name*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Credit Amount
Credit Required (this figure relates to the total outstanding balance at any one time)*

Company Details