Credit Application - Benfleet Plastic Warehouse

This form must be completed by the person responsible for payments.

Company Directors

Name*

Address*

Street Address Address Line 2 City County / State / Region Post Code

Company Name*

Head Office Address*

Street Address Address Line 2 City County / State / Region Postcode

Email*

Phone*

Invoice Address

If different to the above

Street Address Address Line 2 City County / State / Region Postcode

Invoice Email

If different to the above

Invoice Phone Number

If different to the above

Other Directors

Please list the names of all other company directors

How long has your company been established?*

Company Registration Number*

VAT Number

Benfleet Plastic Warehouse Terms & Conditions of Sale are strictly 30 Days Net Monthly Account. Do you agree to adhere to these terms?*

Yes
No

What is your Company’s payment system – Cheque, BACs? Please specify*

Amount of Credit Required*

Trade References

Trade Reference 1 - Company*

Trade Reference 1 - Name*

Trade Reference 1 - Position Held*

Trade Reference 1 - Address*

Street Address Address Line 2 City County / State / Region Postcode

Trade Reference 1 - Phone*

Trade Reference 2 - Company*

Trade Reference 2 - Name*

Trade Reference 2 - Position Held*

Trade Reference 2 - Address*

Street Address Address Line 2 City County / State / Region Postcode

Trade Reference 2 - Phone*

Agreement

Print Name*

Date*

Position in Company*

We thank you for your assistance and assure you that any information given will be treated with the strictest of confidence.

Company Directors

Trade References

Agreement

Contact us

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Building Materials

Roofing

UPVC

Guttering

Landscaping

Timber

Plumbing

Underground Drainage

Company Directors

Trade References

Agreement

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