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CREDIT APPLICATION FORM

First order if under £1,000 will be on a Pro-forma basis. Once application is received, a Credit Reference will be applied for and if acceptable, an account will be opened for your future orders.

Once information has been submitted you will receive a confirmation email and if accepted another email with your login details. Please check to make sure that this email does not get caught in your anti-spam client. If you do not receive an email shortly please call 00 44 (0)1582 794541

NAME OF BUSINESS :

Address:

INVOICE Address(if different):

PROPRIETOR/OWNERS NAME :

TEL NO:

FAX NO:

EMAIL ADDRESS:

TYPE OF BUSINESS:

HOW DID YOU HEAR ABOUT US?

:	Existing Customer
:	A Friend
:	Advert In Magazine
:	Internet Searching
:	Recommendation
:	Other, detail

IS IT A LIMITED COMPANY?

IF YES, REGISTRATION NO:

VAT NO IF APPLICABLE:

REGISTRATION ADDRESS

TRADE REFERENCE: 1
NAME:
ADDRESS:

TRADE REFERENCE: 2
NAME:
ADDRESS:

BANK REFERENCE:

NAME:

ADDRESS:

SIGNATURE: