Account Application Online

BUSINESS DETAILS
Number of Employees*
Turnover*
Date of last Year End*

DayMonthYear
Main Contact Name*
Main Contact Email*
Job Role*
Phone/Mobile Number*
How often do you plan to place orders through your new trade account?*
What types of flooring supplies are you primarily interested in?*

FloorcoveringSubfloor preparationTools & Flooring AccessoriesNot interested in purchasing
How soon do you need to start purchasing your flooring supplies?*

FINANCE INFORMATION
Credit Limit Required*
Payment Method*

BACSDebit Visa / Debit MastercardCredit Visa / Credit Mastercard (fee may apply)
Bank Name*
Sort Code*
Account Number*
Finance Contact*
Finance Contact Email*
Use this email for Invoices and Statements?*
Invoices and Statements Email*
FI_CompanyType

SOLE PROPRIETORSHIP & PARTNERSHIP SECTION

Provide details below for each Sole Proprietor, Partner or Director
Partner One Details

Provide details below for each Sole Proprietor, Partner or Director
Your Details
Full Name*
DOB*

DayMonthYear
Home Address*
Time at this address*
Previous address*
Phone Number*
Mobile Number*
CompanyType

Partner Two Details

Provide details below for each Sole Proprietor, Partner or Director
Full Name*
DOB*

DayMonthYear
Home Address*
Time at this address*
Previous address*
Telephone Number*
Mobile Number*
PT_CompanyType

Director Details

Provide details below for each Sole Proprietor, Partner or Director
Registered Directors*
DD_CompanyType

IDENTIFICATION

Upload or photograph the below documents 1) Proof of ID: passport or driving license. 2) Proof of address: a copy of a utility bill or an identification of address which is no more than 3 months old
Choose how to submit identity documents*

Upload filesTake a photograph
Take a photo of your identity documents photo page*
Take a photo of your address document. Issued within the last three months*
Take a photo of the second partners identity documents photo page*
Take a photo of the second partners address document. Issued within the last three months*
Upload photo identification files for all individuals*

Passport, photocard driving licence, residence permit or ID card.
Cancelof
Upload proof of address files for all individuals. Issued within the last three months*

Bank/credit card statement, utility bill or government issued correspondence. All must be dated within the last 3 months.
Cancelof

DECLARATION
DECLARATION

Have any of the principals / directors / partners / proprietors been involved in any kind of insolvency process (including but not limited to iva / cva / administration) or had a county court judgement registered against them?
Declaration *
Please give details:*

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