Application for a Credit Account "*" indicates required fields Company InfoName of Company*Type* A limited company A partnership A sole trader Other Please specify 'Other'Requested Credit LimitCompany Reg No*Vat No*Your Trading InformationTrading Address* Street Address County Postcode Years at this address*MonthsPlease supply previous address Street Address County Postcode Telephone*Email* Are the business premises owned by the proprietor(s)* Yes No How many years have you been trading*Monthly Expenditure*Amount of credit applied for*Accounts Contact*Purchase Order Number Required* Yes No Sole Trader DetailsName*Phone*Email* Address* Street Address County Postcode Partnership DetailsPerson 1Name*Phone*Email* Address* Street Address County Postcode Person 2Name*Phone*Email* Address* Street Address County Postcode Are All Judgements SatisfiedAre all judgements satisfied* Yes No Please detailAccounts ContactAccounts Contact Name*Phone*Email* Trade References (Preferably Relevant to this Industry)Trade References Name*Address* Street Address County Postcode SignaturePrint Full Name*Position*Consent* I, the undersigned, confirm that the information given is true to the best of my knowledge. We hereby apply for credit from Velocity Safety.
