Electroparts Ltd

CUSTOMER CREDIT APPLICATION

TRADING NAME *

Please enter your trading name, this may also be your company name.
COMPANY NAME (IF DIFFERENT)

Please enter Company Name Or Propriertors name(s) if Partnership or Sole Trader.
Commenced Trading? * / DD / MM YYYY
Date of incorporation or commencement of trading.
Trading Address *
Street Address

Address Line 2

Town / City

County

Post Code

Country

Principle Trading Address / Head Office
REGISTERED OFFICE (if Different from above)
Street Address

Address Line 2

Town / City

County

Post Code

Country

Only complete if different from your trading address above.
COMPANY REGISTRATION No. *

If sole trader or partnership please indicate, otherwise enter company registration No.
VAT Registration No. *
Phone *

Enter numbers Only, NO spaces
Web Site
PURCHASING OFFICER * Title First Last Suffix
Person resonsible for purchase order processing.
E-MAIL FOR ACKNOWLEDGEMENTS

Address to receive purchase order acknowledgement e-mails
ACCOUNTS OFFICER * Title First Last Suffix
Person who will receive invoices and accounts payable enquiries.
E-MAIL FOR INVOICES AND STATEMENTS
MANAGING DIRECTOR * Title First Last Suffix
QUALITY MANAGER * Title First Last Suffix
Bank *
SORT CODE *
ACCOUNT NAME *
ACCOUNT NUMBER *
NATURE OF BUSINESS *

Please describe your main business activities
BUSINESS SECTOR *
References

Please do not use FARNELL, CPC, ARROW or RS
1st TRADE REFERENCE WEB OR ADDRESS *
Contact Person First Last
Phone *

Enter numbers Only, NO spaces
2nd TRADE REFERENCE WEB OR ADDRESS *
Contact Person First Last
Phone *

Enter numbers Only, NO spaces
Thank You

Please click CONTINUE and review your completed form prior to submitting.

Electroparts Ltd

Electroparts Ltd

References

Thank You