Account Application

New Account Application
Complete this application form if you are applying to become a Customer of EA-RS Fire Engineering Limited. You can save the form as a draft if you need to come back to it. Once fully completed, please submit your application which will route to the Finance Department. If you have any questions or queries regarding your submission, send an email to accounts@ea-rsfire.com or call our Finance team on 0800 999 8866.
Personal Details

Contact details for representative completing this form
Your Name*
First and Last name
Your Email*

Confirmation EmailThis e-mail address will be used for all correspondence relating to this application
Your Contact Telephone Number*
In case we need to discuss your submission
Your Job Title*

Company Contacts & Banking Information
Company Trading Name*
Registered Office Address*

Street Address

Street Address Line 2

Town / CityCounty

Post Code
Is the Accounts Address the same as the Registered Office Address?*

YesNo
Accounts Address*

Street Address

Street Address Line 2

Town / CityCounty

Post Code
Accounts Contact Name*

First NameLast Name
Phone number (Main Accounts)*

Area CodePhone Number
Email Address (Main Accounts)*
Main accounts contact
Email Address (For Invoicing)*
For invoicing
Email Address (For Statements)*
For statements

Trading Information
Status*

Limited CompanyGeneral PartnershipSole Trader
Company registration number*
Limited company number
CIS Status*
VAT Registered*

YesNo
VAT Registration Number*
e.g. GB666022740
Unique Taxpayer Reference (UTR)
End User*

YesNo
Credit Limit Request (£)*

Sales Information
Is there a primary sales contact within Fire Engineering that you have been dealing with?*
This information will help our Finance department process your application in collaboration with our Sales department.
Please select the name of our primary sales contact*
Please specify the name of the primary sales contact*
How did you hear about EA-RS Fire Engineering Ltd?

TERMS & CONDITIONS
Terms Agreement

I hereby apply for credit facilities with EA-RS Fire Engineering. I confirm this information is true and complete and I have the authority to open this account. I agree to be bound by EA-RS Fire Engineering and Conditions which together with this information form the agreement. We may, from time to time, undertake certain checks on you by consulting a licensed credit reference agency, trade references or bankers’ reference for the purpose of establishing your credit worthiness, debt recovery or fraud prevention. The company may record the search. You hereby give express consent for us to carry out such searches. No further notification will be given to you by us when we undertake such a search and we may do so at any time.

Payment terms

STRICTLY 30 days from invoice date (subject to appropriate credit checks) – Our preferred method of payment is bank transfer. Remittance to accounts@ea-rsfire.com. Please note any overpayments will be removed from your Statement after 3-months.
Date of submission*

DayMonthYear
Signature*

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