Application for Credit Facilities

Apply to a Display Wizard credit account to make ordering even quicker and easier.

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Application for Credit Facilities

Please complete all sections of this form accurately, if there are any fields you can't complete please enter N/A.

All details entered into this form are handled securely and confidentially.

Application for Credit Facilities

Section 1 - Company DetailsCompany Name*Registered Office Address Inc. Postcode*Trading Name (if different from above)Contact Name*Company Registration Number*Email Address*VAT Registration Number*Telephone Number*

Do you supply / require PO numbers to be shown on our invoices in order for you to process them?*

Yes

Have you previously ordered from us?*

Yes

Credit Limit Required*

Section 2 - Account DetailsInvoice / Accounts Address Inc. Postcode (if different from above)Accounts Email Address*Accounts Contact Name*Invoice / Credits Email Address (if different from above)Accounts Telephone Number*

Section 3 - Bank DetailsName & Address of Bank Inc. Postcode*Account Number*Account Name*Sort Code*

Section 4 - Trade ReferencesReference 1 - Company Name and Address Inc. Postcode*Reference 2 - Company Name and Address Inc. Postcode*Reference 1 - Email Address*Reference 2 - Email Address*Reference 1 - Telephone Number*Reference 2 - Telephone Number*

Section 5 - Terms and Conditions (should your credit account application be successful)

Please tick to confirm that you accept out payment terms of ‘full payment to be made within 30 days from the invoice date’*

I accept the payment terms

Please tick to confirm that we have made you aware that overdue invoices may be referred to a third party for collection if payment terms are not met and should this happen, we may also remove the credit facility from your account.*

I am aware of the overdue invoice terms

Please tick to confirm that you have read our website terms and conditions.*

I have read the website terms and conditions

Section 6 - Online SignatureOnline Signature*(This is a legal representation of your signature)Position*Date*

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Application for Credit Facilities

Application for Credit Facilities