CREDIT APPLICATION FORM

COMPANY DETAILS

Trading name:

Full company name (if different from above):

Trading address:

Town: County: Postcode:

Telephone: Fax:

Email:

Sole trader Partnership Limited company PLC LLP Holding company (tick where appropriate)

VAT no: Business activity: No. Years trading:

Purchasing contact: Telephone:

DELIVERY DETAILS

Delivery address (if different from above):

Town: County: Postcode:

Purchasing contact: Telephone:

Any further delivery addresses should be listed on a separate sheet.

ACCOUNTS DETAILS

Accounts contact: Telephone:

Address for statements/invoices:

Town: County: Postcode:

Credit limit requested: £ Method of payment: Cheque BACS (tick where appropriate)

PARTNERSHIPS AND SOLE TRADERS ONLY

Please supply full name, home addresses and dates of birth for all principals. If address has changed within the last 3 years, please give previous details. Continue on separate sheet if necessary.

1. D.O.B.

2. D.O.B.

LIMITED COMPANIES ONLY

Registered office address:

Town: County: Postcode:

Name of parent company (if part of a group):

Company registration no: Date of Incorporation:

LIMITED COMPANIES ONLY (continued)

Please supply names of all directors. Continue on separate sheet, if necessary.

1.

2.

3.

4.

BANK DETAILS

Bank name:

Bank address:

Sort code: Account no:

Bank account name:

TRADE REFERENCES

1. Company name:

Address:

Telephone no: Contact name:

2. Company name:

Address:

Telephone no: Contact name:

AGREEMENT

This form must be signed by an authorised signatory.

• I/We hereby authorise Trade Stair Parts Ltd to contact my/our bank and the above trade references for information regarding this application.

• I/We have read, understood and agreed to the Terms and Conditions of Sale of Trade Stair Parts Ltd (a copy of which appears on the reverse of this form and can be found on www.tradestairparts.co.uk).

• All invoices are due on the date of purchase. Credit accounts are available upon application for trade customers with payment due 7, 14 or 30 days from date of invoice depending on individual agreements. Failure to comply may result in the credit facility being withdrawn.

• I attach a sample of our headed paper with this form.

Authorised signature for and on behalf of the Customer

Signature: Date:

Name (block capitals): Position:

PLEASE NOTE THAT WE REQUIRE ORIGINAL COPIES OF THIS DOCUMENT FOR OUR RECORDS. PLEASE RETURN THIS FORM BY POST – FAXED COPIES WILL NOT BE ACCEPTED.

OFFICE USE ONLY

Ref. 1 received Account no.

Ref. 2 received Credit limit

Approved by Date

Trade Stair Parts 37-39 Second Avenue,

Bluebridge Industrial Estate, Halstead,

Essex CO9 2SU

United Kingdom 01245 697 117 – 01787 275 582 sales@tradestairparts.co.uk