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
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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
