Credit Account Application Form

Business Name

Trading Name (if different)

Business Type

PLC

Ltd Company

Partnership

Sole Trader

Trading Address (including postcode)

Telephone Number

E-mail Address

Company Registration Number

VAT Number

Number of Years Trading

Annual Turnover

Anticipated Monthly Credit Requirement

Has any of the Directors ever been declared bankrupt, or been a Director of a company that has gone into receivership or been liquidated in the last 10 years?

Yes

No

If Yes, please give details

Full Name of Director/Partner/Sole Trader (1)

Home Address of Director/Partner/Sole Trader (1)

Full Name of Director/Partner/Sole Trader (2) if applicable

Home Address of Director/Partner/Sole Trader (2) if applicable

Full Name of Director/Partner/Sole Trader (3) if applicable

Home Address of Director/Partner/Sole Trader (3) if applicable

Trade Reference 1 - Company Name

Trade Reference 1 - Company Address

Trade Reference 1 - Contact Name

Trade Reference 1 - Telephone Number

Trade Reference 1 - E-mail Address

Trade Reference 2 - Company Name

Trade Reference 2 - Company Address

Trade Reference 2 - Contact Name

Trade Reference 2 - Telephone Number

Trade Reference 2 - E-mail Address

Are you members of any trade associations?

Giftware Association

Marine Trades Association

Other (list below)

Terms & Conditions (tick all)

We agree to pay our account monthly, by the 25th of the month following the month of invoice

If there are any queries we agree to raise them in good time, and always before payment is due

We accept that full title of the goods remains with Nauticalia Ltd until payment is made in full

We understand and agree that searches may be made with credit reference agencies to support this application

Name of Purchase Ledger Contact

Credit Account Application Form

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