Credit Application Form

Credit Application Form
Company name
Trading name (if different)
Date established

DayMonthYear
Business type

Other
Company registration number
(if applicable)
Credit limit required
Trading address

Full address

Street Address Line 2

CityPost Code

Post code
Registered office address

Full address

Street Address Line 2

CityPost Code

Post code
Phone number

Area CodePhone Number
Contact at Fatra
Who did you liaise with prior to completing this application
Invoicing address (if different from above)

Full address

Street Address Line 2

CityPost code

Finance contact - name and number
Parent company details (if applicable)

Name and company registration number

Street Address Line 2

CityFull address

Post code
Accounts Email address:
Do you agree to receive invoices and statements by email
Additional Information
Details of all proprietors, partners and directors
Banking Information
Bank name
Branch
How long have you held this account?
Number of years
Bank account name
Account number
Sort code
Business/Trade References

Give the names and addresses of two references with whom you have traded for more than 2 years
References List
DECLARATION

All applicants must sign. If signing for a company, state the capacity in which signed.

I/We make this application to open an account with Fatra UK Ltd. I/We confirm that the above particulars are correct. I/We authorise Fatra UK Ltd to make such enquiries as it deems necessary in connection with this application. I/We understand that credit terms are that payment is due promptly at the end of the month following the date of invoice and that if granted credit I/We agree to pay in accordance with these terms. I/We acknowledge and accept the Fatra UK Ltd Terms and Conditions for the Supply of Goods and Installation Services. I/We agree that the information supplied may be used by Fatra UK Ltd for the effective management and servicing of my/our account. I understand that under the Data Protection Act, I/We have the right to obtain details about what data Fatra UK Ltd holds on me/us, if I apply in writing and pay the appropriate fee.
Name
Job title
Date of signing

DayMonthYear
Signature
Should be Empty:

Credit Application Form

Additional Information

Banking Information

Business/Trade References