Credit Account Application Form

In addition to this application, we will ask for

A copy of your government ID (diving license or passport)
Proof of address (utility bill or bank statement less that 3 months old)
Letterheaded paper

* Required fields

Your Business Details

Trading Style *

Full Company or Customer Name *

Trading Name (if applicable)

Company Registration Number (if applicable)

Trading Address (for invoicing/correspondence)

Building Name/Number *

Street *

Town *

County *

Postcode *

Number of years you have been established

Will official orders be mandatory?

Yes No

Is the site address mandatory on invoices?

Yes No

Contact Details

Mobile Number *

Buyer Contact Name

Buyer Email

Payment Contact Name *

Payment Telephone *

Payment Email *

Email for Invoices/Statements *

How do you prefer to receive invoices and statements?

Have you or your business ever had CCJs or been involved in insolvency action (Bankruptcy/IVA/Liquidation/Administration/CVA)?

Yes No

Bank Details

Bank Name *

Sort Code *

Account Number *

Name of Account/Account Holder *

Account Type *

Proprietor/Director Details

Please supply details for ALL Proprietors/Directors of the business

Person 1

Full Name *

Date of Birth *

Telephone *

Building Name/Number *

Street *

Town *

Postcode *

Previous address if less than 2 years

Building Name/Number

Street

Town

Postcode

Person 2

Full Name

Date of Birth

Telephone

Building Name/Number

Street

Town

Postcode

Previous address if less than 2 years

Building Name/Number

Street

Town

Postcode

Person 3

Full Name

Date of Birth

Telephone

Building Name/Number

Street

Town

Postcode

Previous address if less than 2 years

Building Name/Number

Street

Town

Postcode

Trade References

Name *

Telephone *

Credit Limit *

Data Protection/Marketing Choices

We will make a search with a Credit Reference Agency, which will keep a record of that search and will share that information with other businesses. In some instances we may also make a search on the personal credit file of principal directors. Should it become necessary to review an account, then again a credit reference may be sought and a record kept. We will monitor and record information relating to your trade performance and such records will be made available to Credit Agencies who will share that information with other businesses when assessing applications for credit and fraud prevention.

The Travis Perkins plc Group uses centralised finance and customer management systems. Your information may be accessible by others in the Group for administrative and analytical purposes. We also use various service providers, some of whom may be located in other countries, so your information may be transferred outside the United Kingdom.

You have rights under the Data Protection Act including the right to apply for a copy of your personal information and to correct any inaccuracies.

Marketing Choices

From time to time we would like to send you special offers and information about our products and services. We use your information to assess what we think you might be interested in and tailor what we send you so it is as relevant as possible.

Please tick if you do not wish to receive any information or offers by

Post Telephone

Please tick if you would be happy to receive these details by

Email SMS

More information about your rights and how we used your personal information can be found in the privacy policy on our website.

Description of Business *

Personal Credit Guarantee

In consideration of your agreement to supply goods on credit to the Company applying for credit ("the Company"), I/we are a director, memeber, authorised person, or authorised on behalf of a director or member.

I unconditionally, jointly and severally, personally guarantee payment of all monies due and owing by the Company. This includes any costs of enforcing this Guarantee.

I/We acknowledge and agree that: (a) the initial credit limit (and any subsequently increased credit limit) may be increased from time to time; and (b) if the credit amount is increased at any time, it will be covered by this Personal Guarantee. Notice of the increase to the Company is deemed to be notice to me/us and if the Company uses the increased credit limit, then this is deemed consent by me/us to the increase in credit limit.

Person 1

Signature *

Full Name *

Date *

Person 2

Signature

Full Name

Date

Person 3

Signature

Full Name

Date

Application for Credit and Agreement to Terms and Conditions

For limited company incorporated less than 3 years: Must be signed by a current Company Director listed at Companies House.
For Sole Traders: Must be signed by the Proprietor.
For Partnership: Must be signed by one of the Partners.
For Charities: Must be signed by a Trustee.
For all other entities: Must be signed by the person who has financial responsibility (Treasurer/Secretary).

Initial Credit Limit *

Signature *

Full Name *

Position *

Date *

Credit Account Application Form

Your Business Details

Trading Address (for invoicing/correspondence)

Contact Details

Bank Details

Proprietor/Director Details

Person 1

Person 2

Person 3

Trade References

Data Protection/Marketing Choices

Marketing Choices

Description of Business *

Personal Credit Guarantee

Person 1

Person 2

Person 3

Application for Credit and Agreement to Terms and Conditions

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Credit Account Application Form

Your Business Details

Trading Address (for invoicing/correspondence)

Contact Details

Bank Details

Proprietor/Director Details

Person 1

Person 2

Person 3

Trade References

Data Protection/Marketing Choices

Marketing Choices

Description of Business *

Personal Credit Guarantee

Person 1

Person 2

Person 3

Application for Credit and Agreement to Terms and Conditions

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