CREDIT ACCOUNT APPLICATION

Apply for a 1Connect Credit Account

Account Application

Please complete the credit application here for our accounts team to process.

Company Name

Invoice Address

Delivery Address

VAT Number

Company Reg Number

Sales Contact Name

Sales Contact Telephone Number

Sales Contact Email Address

Accounts Contact Name

Accounts Contact Telephone Number

Accounts Contact Email Address

1Connect Account Manager

Trade References

Company Name (Trade Reference No.1)

Contact Name (Trade Reference No.1)

Email Address (Trade Reference No.1)

Telephone Number (Trade Reference No.1)

Address (Trade Reference No.1)

Company Name (Trade Reference No.2)

Contact Name (Trade Reference No.2)

Email Address (Trade Reference No.2)

Telephone Number (Trade Reference No.2)

Address (Trade Reference No.2)

Bank Details

Name of Bank

Name of Bank Manager

Account Number

Sort Code

Bank Address

Declaration and acceptance of Terms and Conditions by Director Level

Confirmation

By ticking this box I declare that I have read, understood and accept the terms and conditions of trade. I agree to 1Connect taking both Trade and Bank References

Full Name

Director Level Position

Company Name

Date

CREDIT ACCOUNT APPLICATION

Account Application

Trade References

Bank Details

Declaration and acceptance of Terms and Conditions by Director Level

01925 530 150

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