Trade Account Application Form

• Trading Name: *
• Company Name (if different):
• Limited Company: * Yes      No
• Company Registration No: *
• Date Established: *
• No of Branches: *
• Contact Name: *
• Invoice Address: *
• Postcode: *
• Telephone No: *
• Fax No: *
• Email Address: *
• Website Address: *

• Name: *
• Address: *
• Postcode: *
• Account No: *
• Sort Code: *

• Company Name: *
• Address: *
• Postcode: *
• Telephone No: *
• Contact: *
• Date Trading Commenced: *

• Company: *
• Address: *
• Postcode: *
• Telephone No: *
• Contact: *
• Date Trading Commenced: *

DATA POLICY O.F.T. STANDARD LICENCE NO: 511191

We may disclose details of your account, and your conduct of it, to reference agencies. We will contact at least one credit agency in respect of your application for a credit account with us. Information held by a credit reference agencies may be used by other lenders to help make credit decisions relating to your company/you, and occasionally for fraud prevention or tracking debtors.

I confirm the above details are correct and I have read the conditions.

• Name: *
• Position: *
• Security Code: *
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• Enter Security Code Here:
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