ACCOUNT APPLICATION FORM

Organisation Type
—Please choose an option—FirmPartnershipIndividualLimited CompanyPLC

Monthly Credit required

Company Trading Name

Registered Name

Company Registration No

VAT Registration No

Directors Name

Address

Post Code

Telephone

Website

Email

Email (Confirm Email Address)

Contact Name

Position

Number of years established

Bank Name

Account Name

Bank Address

Bank Account Number

Bank Sort Code

No. of years account active

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Trade Reference 1

Trade Reference 2

Trade Contact 1

Trade Contact 2

Trade Address 1

Trade Address 2

Trade Telephone 1

Trade Telephone 2