01733 828 888

Credit Application Form

Business/Trading Name:
Business Type:
Details of People Authorised to Place Orders:
Name:
Position:
Name
Position
Business Address:
Main Tel No:
Accounts Tel No:
Mobile No:
Do any directors, owners or partners in this business have an undischarged bankrupt?
Have any directors, owners or partners held any other credit accounts with us?
If so, please provide name(s)
VAT No:
Share Capital:
Credit Required:
Ltd/Plc Companies Only:
Company Registration No:
Date of Incorporation:
Directors Name
Home Address
Directors Name
Home Address
Directors Name
Home Address
Sole Traders/Partnerships Only:
Proprietor/Partner
Home Address
DOB
Proprietor/Partner
Home Address
DOB
Proprietor/Partner
Home Address
DOB
Name of People Authorised to Make Payment & Co Bank Details:
Name
Direct No:
Name
Direct No:
Bank Name:
Branch:
Sort Code
Acc No:
Trade References:
Trade Reference Name:
Address:
Current Credit Limit:
Trade Reference Name:
Address:
Current Credit Limit:
I/We agree to abide to the terms and conditions of a credit account with Switch Electrical Wholesale Limited
Name/Signiture
Position
Date