Credit Application

NEW CUSTOMER ACCOUNT OPENING FORM

If you would like to apply to open a trade account with us - please enter your details below.

Company:

Contact *:

Reg. Office Address:

Position:

Invoice Address:

Tel No:

Delivery Address:

Fax No:

Website:

Email*:

CREDIT DETAILS

Please indicate which applies:

Sole Trader

Partnership

Ltd

Plc

Date of Incorporation:

Co. Reg. No & Place:

VAT No:

Person Responsible for Bought Ledger:

Credit Limit Requested:

Name of Guarantor:

TWO TRADE REFERENCES

Name:

Address:

Tel No:

Fax No:

BANKING DETAILS

Accounts Contact Name:

Bank Account Name:

Position:

Bank address:

Tel No:

Sort Code:

Fax No:

A/C No:

DELIVERY & TRADING INFORMATION

Produce will be:

Collected

Delivered

Emergency Contact Number for Deliveries:

Usual Delivery Days:

Mon

Tue

Wed

Thur

Fri

Sat

Preferred Time of Delivery:

Before 7am

7am - 9am

9am - 10am

10am – 11am

11am – 12pm

After 12pm

Delivery Instructions:

Other major produce suppliers used:

Any unusual items required?

Other notes & special instructions: