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 £ : *

Sign me up for updates