Credit Account Application

SECTION A (to be completed by all applicants):

Full Trading Title:*

Full Trading Address:*

Invoice Address: (if different from above)

Accounts Telephone Number:*

Accounts Email:*

Accounts Contact Name:*

How Long Established (years):*

Amount Of Credit Requested £:*

Bankers Name and Address:*

Bank Account Number:*

Bank Sort Code:*

VAT Registration No. :

VAT Rate:

Reverse Charge

Yes

No

SECTION B (to be completed by ALL applicants):

Company Name:*

Company Registration No:*

Date Incorporated:*

Ultimate Holding Company (if any):

Name(s) of Director(s):*

SECTION C (to be completed by Sole Traders / Partnerships - leave blank if not applicable):

Full Name(s) and Home Address(es) of Proprietor(s) / Partner(s)

Partner One

Name:

Tel No:

Position:

Address:

Partner Two (if applicable)

Name:

Tel No:

Position:

Address:

SECTION D (to be completed by all applicants):

Please supply the names and address of two trade references to whom an approach may be made:

References One

Name:*

Tel No:*

Position:*

Address*

References Two

Name:*

Tel No:*

Position:*

Address:*

Position:*

Signature

All Equipment is Hired under CPA Hire 2021 Terms and Conditions, a copy of which is available upon request.

Payment Terms and Conditions

Our payment terms are strictly 30 days from the invoice date. We reserve the right to charge for costs and expenses incurred in recovering late payments, and to charge interest on overdue amounts at the rate in force pursuant to the Late Payment of Commercial Debts (Interest) Act 1998 as at the due date.

SECTION A (to be completed by all applicants):

SECTION B (to be completed by ALL applicants):

SECTION C (to be completed by Sole Traders / Partnerships - leave blank if not applicable):

Full Name(s) and Home Address(es) of Proprietor(s) / Partner(s)

Partner One

Partner Two (if applicable)

SECTION D (to be completed by all applicants):

Please supply the names and address of two trade references to whom an approach may be made:

References One

References Two

Payment Terms and Conditions

Call us on 01302 366900