Account Application Form

Account Application Form
Full Trading Title:
Full Address:

Street Address

Street Address Line 2

City/TownCounty

Post Code
Telephone Number:
Mobile Number:
Fax Number:
Email Address:
Product Interest
How did you hear about us?
Amount of Credit Required per Month (£) :
Length of Time Trading As This Company:
Accounts Contact:
Natue of Business:
Sales Contact:
VAT Registration No:
*Our normal terms of trading are 30 days from the date of invoice

If Limited Company
Registered Office:
Company Reg #:
Names of Directors:
If Partnership or Sole Trader
1st Partner:
Full Name
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Home Address:

Street Address

CityCounty

Post Code
Telephone Number:
2nd Partner:
Full Name
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Home Address:

Street Address

CityCounty

Post Code
Telephone Number:

Trade References
1. Name:
Full Name
Telephone Number:
Address:

Street Address

CityCounty

Post Code
Account Number:
Fax Number:
2. Name:
Full Name
Telephone Number:
Address:

Street Address

CityCounty

Post Code
Account Number:
Fax Number:

Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearToday
By signing this document you are agreeing to the Terms and Conditions provided
WE MAY MAKE A SEARCH WITH A CREDIT REFERENCE AGENCY, WHICH WILL KEEP A RECORD OF THAT SEARCH AND WILL SHARE THAT INFORMATION WITH OTHER BUSINESSES. WE MAY ALSO MAKE ENQUIRIES ABOUT THE PRINCIPAL DIRECTORS AND PROPRIETORS WITH A CREDIT REFERENCE AGENCY

BY PROVIDING YOUR DETAILS AND SIGNING THIS FORM YOU AGREE THAT DIRECT ORDER BLINDS (TRADE) Ltd MAY CONTACT YOU BY EMAIL, PHONE OR POST IN RELATION TO YOUR ENQUIRY. YOU CONFIRM YOU HAVE READ AND ACCEPTED OUR PRIVACY POLICY. EVANS TEXTILES WOULD LIKE TO KEEP IN TOUCH WITH YOU ABOUT PRODUCTS, SERVICES AND OFFERS THAT MAY INTEREST YOU.

PLEASE NOTE THAT FAILURE TO COMPLETE ANY PART OF THE ABOVE FORM MAY DELAY YOUR CREDIT ACCOUNT ACCEPTANCE.

Direct Order Blinds (Online) Ltd
HOW WOULD YOU LIKE TO BE CONTACTED:
Should be Empty: