APPLICATION FOR CREDIT FACILITY
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COMPANY DETAILS
Company Name:

Trading Address:

Registered Number:

Nature of Business:

Telephone Number:

Fax Number:

Years Trading:

Credit Limit:


NAMES & HOME ADDRESSES OF PARTNERS OR DIRECTORS
=================================
Name:

Address:

Name:

Address:

Name:

Address:

*********
We will make a search with a credit reference agency, which will keep a record of that search and will share that information with other businesses.  We may also make enquiries about the principal directors with a credit reference agency.

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TRADE REFERENCES
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Name:

Address:

Name:

Address:

Name:

Address:


BANK REFERENCES
================================
Name & Branch:

Address:

Account Number:

Sort Code:


I confirm that the information given above is correct and confirm that I am duly authorised to undersign.




Signed .......................  Position ........................


Print Name ...................  Date ............................

IMPORTANT!
Delay in returning this Form fully completed could result in the dispatch of your order being delayed.  To avoid this please fax this Form back to us ASAP  
on (01865) 203996. Thank you.