Make Retail Credit Application

MAKE RETAIL LIMITED

CREDIT ACCOUNT APPLICATION FORM
Name*

First NameLast Name
Company Name
Company Registration No.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Previous Address (if less than 2 years at present)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Trading Style*
Have any of the Directores/Partners or Sole Trader been subject of a bankruptcy or IVA or had any CCJs registered against them?*
If a Director, have you been involved in a business which went into liquidation/receivership/administration or CVA*
How long have you been established?*
PERSONAL CREDIT GUARANTEE: To be completed by the Director(s) of a Limited Company/Members of LLP

In consideration of your agreement to supply goods on credit to the company described above applying for credit herein ("the Company"). I/we the undersigned being Director(s) of the Company/LLP hereby unconditionally and presonally, jointly and severally guarantee payment of all monies due and oweing by the Company to Make Retail Limited. including all monies due and oweing by reason of any increases in the credit limit graded by Make Retail Limited.

For any personal credit guarantee

(1) any credit limit on a credit account being the initial credit limit, which would be subject to increase; and

(2) if the credit amount is increased, it will be covered by the personal guarantee and notice of the increase to the customer is deemed to be notice to the personal guarantor and if the customer uses the increased credit limit, then this is deemed consent by the personal guarantor to the increase in credit limit.
Address of Directors/Partners

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature

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Address of Directors/Partners

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature

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Address of Directors/Partners

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature

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NAME OF TWO TRADE REFERENCES*
DATA PROTECTION

We will make a search with a credit reference agency, which will keep a record of that search and will share that information with other businesses. In some instances we may also make a search on the personal credit file of princable Directors. Should it become necessary to review an account, then again a credit reference maybe sought and a record kept. We will monitor record information relating to your trade performance and such records will be made available to credit reference agencies who will share that information with other businesses when assessing application for credit and fraud prevention.

RESPECTING YOU PRIVACY

We will record your purchasing preferences and may use your information for marketing purposes.

From time to time Make Retail Limited would like to send you special offers or information on our products and services.
Please tick if you DO NOT wish to receive any information or discount offers by*

TelephoneEmailSMS
Under the data protection act you have the right to apply for a copy of the information we hold on you (for which we may charge a small fee) and to correct any inaccuracies. Due to training requirements some calls may be monitored.

PLEASE READ AND COMPLETE ALL SECTIONS OF THE APPLICATION BEFORE SIGNING THE SECTION BELOW.

I/we make this application to open a credit account with Make Retail Limited. I/we understand that the 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 Make Retail Limited terms & conditions of sale.
Initial credit limit required?*
Signature of Sole Trader/Partner/Director/Applicant*

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MAKE RETAIL LIMITED