CREDIT APPLICATION FORM

All information supplied in this application will be treated with highest confidentiality and will be deleted after credit has been granted. For further information, please refer to our Privacy Policy here.

Business / Trading Name:

Business Address:

Business Type:

PLC

Ltd.

Partnership

EORI Number:

Primary Contact Name:

Primary Contact Tel No:

Country

(###)

###

####

Book Keeper Name:

Book Keeper Tel No:

Country

(###)

###

####

Are any of the directors, owners or partners in this business an un-discharged bankrupt?

Yes

LTD / PLC COMPANIES ONLY

Company Registration No:

Date of Incorporation:

YYYY

Directors Name:

Home Address:

Directors Name:

Home address:

SOLE TRADERS / PARTNERSHIPS ONLY

Proprietor / Partner:

Home address:

Date of Birth

YYYY

Proprietor / Partner:

Home address:

Date of birth:

YYYY

NAME OF PERSON AUTHORISED TO MAKE PAYMENT & CO BANK DETAILS:

Name:

Direct No:

Country

(###)

###

####

Email:

Bank Name:

Branch:

Sort Code:

Please send the following to orders@artcoustic.com. Please confirm you have sent by checking the boxes below:

Last 3 Years of Annual Reports

List of ledger balance for current year, including operations

CREDIT REFERENCE NOMINEES

Company 1:

Email:

Contact No:

Country

(###)

###

####

Credit Limit with Company:

Company 2:

Email:

Contact No:

Country

(###)

###

####

Credit Limit with Company:

MUST BE SIGNED BY A DIRECTOR, PARTNER, OR PROPRIETOR OF THE BUSINESS

In processing you application for credit facilities we make enquiries of credit reference agencies and other third parties who may record those enquiries. We may also disclose information about the conduct of your account to credit reference agencies and other third parties. The information obtained from or provided to credit reference agencies or other third parties may be used when assessing further applications for credit terms, for debt collection, for tracing and for fraud prevention.

I, the undersigned, hereby confirm that if credit facilities are approved the account will be paid as per your normal monthly terms.

Please type name below

Date:

YYYY

By checking the following boxes, you confirm that the below boxes to confirm that all the information is entered correctly, by the person signing the document and to the best of your knowledge.

All information is correct

Information entered by lead signee

CREDIT APPLICATION FORM

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