Credit Application Form

Credit Application Form

Lioncroft Wholesale Limited

Customer Credit Application Form
Bank Details for Customer Payments

Company Name: Lioncroft Wholesale Limited T/A East End Wholesale Stores
Company Registration Number: 12363134
Registered Address: 5 Upper Thomas Street, Aston, B6 5AD
Email: accounts@lioncroft.co.uk
Tel: 0121 359 2199 Ext 317
VAT Number: 340768983
Bank Account Name: Lioncroft Wholesale Limited
Bank Address: HSBC UK Bank Plc, 1-3 Bishopsgate, EC2N 3AQ
Account Number: 3130 1837
Sort Code: 40-11-60
AWRS: XPAW 000 0011 4148

Company Details

Section 1/3
Company Name*
Company Registration Number*
Company Registered Address*

Address Line 1

Address Line 2

CityRegion

Post Code
YesNo
Trading Address

Address Line 1

Address Line 2

CityRegion

Postcode
Telephone Number*
Please enter a valid phone number.Format: 00000000000.
VAT Number*
Credit Limit Required (£)*
Expected Payment Terms (Days)*
Lioncroft Employee Contact*
The representative you have been referred by

Contact Details

Section 2/4
Accounts Contact

First NameLast Name
Email*
example@example.com
Telephone Number*
Please enter a valid phone number.Format: 00000000000.
Form Completed By*

First NameLast Name
Position Held*

Proof of ID

Please provide 2 Forms of ID
Name of Director(s)
Form of ID 1*

Accepted forms of ID are Driving License, Passport, Utility Bill
Cancelof
Form of ID 2*

Accepted forms of ID are Driving License, Passport, Utility Bill
Cancelof
PassportDriving LicenseUtility BillOther
Please Specify (Other Form of ID)
Agree

Office Use Only
STL Number
Credit Approved By

First NameLast Name
Credit Authorised By

First NameLast Name
Forms of ID Collected
Goods In General Trade
Company Expense
Terms Agreed (7/14/28)
Credit File Created
Signature
Should be Empty: