Application For Credit Facility

    Please complete the appropriate section below. Sign and date the form and return to us with a copy of your letterhead and details of two trade references.

    SECTION 1 TO BE COMPLETED BY A COMPANY

    Name :*

    Email :*

    Name of Company (LTD/PLC) : *

    Co Reg No :*

    Vat Reg No :*

    Trading Name (if trade in different name)

    Trading Address :*

    Postcode :*

    Telephone No :*

    Fax No :*

    Registered Office Address :*

    SECTION 2 TO BE COMPLETED BY SOLE TRADERS AND PARTNERSHIPS

    Trading Name of Business :*

    Principal Trading Address :*

    Postcode :*

    Telephone No :*

    Fax No :*

    Name and Address

    Name :*

    Address :*

    Postcode :*

    Telephone No :*

    SECTION 3 TO BE COMPLETED BY ALL APPLICANTS

    Nature of Business :*

    How long Established :*

    Contact for Accounts Payable : *

    Please insert the amount of total credit facility which is requested £ : *