Credit Application | PBM - IG

Credit Application Form

Your Company Details

Firstname:
Title:
Company Name:
Address of registered office or head office:
Invoice address (if different from above):
Type of trade / occupation:
Amount of credit reqd:

Lastname:
Email:
Company Reg No:
(if Ltd. company)

Partnership?
Sole Trader?

Home address of signatory (if partnership or soletrader):
No. years established:
Contact name re: account queries

Trade references

Reference 1

Trade references (that exceed £5000 pa)
Telephone No.
Facsimile No.
E-mail (optional)

Reference 2

Account Details

Name of Bank
Branch address
Account Number

Sort code:
Telephone:
Facsimile:

If you have previously traded with our company under any other name, please give details in the space below.

PBM - Plastic Building Materials

Credit Application Form

Your Company Details

Trade references

Account Details