Credit Application

Contact Information

Business Information

Authorised Personnel

People Authorised to Place Orders (up to two people)

Address Information

Business Address

Invoice Address (if different from business address)

Directors Information

Director 1

Director 2 (Optional)

Director 3 (Optional)

Banking Information & People Authorised to Make Payments

People Authorised to Make Payments

Company Bank Details

Trade References

Trade Reference 1

Trade Reference 2

Additional Information

Terms and Conditions

Credit Reference Disclosure:

In processing your application for credit facilities, we make enquiries of credit reference agencies and other third parties who may record those enquiries. We may also disclose information about the conduct of your account to credit reference agencies and other third parties. The information obtained from or provided to credit reference agencies or other third parties may be used when assessing further applications for credit terms, for debt collection, for tracing and for fraud prevention. I, the undersigned hereby confirm that if credit facilities are approved the account will be paid as per your normal monthly terms.

Note: Must be signed by a director, partner or proprietor of the business.

Standard Conditions:

I HAVE READ AND RETAINED THE ATTACHED COPY OF THE STANDARD CONDITIONS OF SALE AND ACCEPT THAT ANY CREDIT ACCOUNT GRANTED WILL BE SUBJECT TO THOSE CONDITIONS AT ALL TIMES.

Collection Notice:

Any accounts that remain overdue may be passed to a collection agency.

Signature Section