Trade Credit Account Application

Company name*

Company adddress*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Accounts email address*

Please note that invoices/statements will be emailed to this address

Company registration number*

VAT number*

Is your company part of a group?*

If part of a group, please state name

If you are not a limited company, please supply the name and address of the Director(s) / Proprietor(s)

How long has the company been trading?*

If trading less than two years please state previous trading details

Number of employees*

What is your anticipated monthly spend on ironmongery materials*

What is the average overall cost of a typical project?*

What credit limit do you require?*

Proof of address*

Please upload a document to confirm proof of your address e.g. a utility bill.

Company letterhead*

Please upload a copy of your company letterhead.

Trade reference 1

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address*

Telephone*

Trade reference 2

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Trade reference 3

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

I/We certify that we agree to accept the Terms of Trading as set down by Joseph Giles Ltd and confirm that payment of all invoices will by made in accordance with our Terms and Conditions.*

I accept

Position

Name

First Last