Trade Account Application Form

Your Company Details

Please Select

Limited Company
Sole Trader
Partnership
Other (please specify)

Company Name

Trading Name

VAT Number

Bank Name/Address

Please attach your business letterhead

Drag & Drop Files, Choose Files to Upload

Company Address

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Contact Information

Email TWO Registration

Name

First

Last

Position

Phone

Accounts Email (if different)

Please Supply TWO Trade References:

Trade Ref 1

Trade Ref 1 Address/Number

Trade Ref 2

Trade Ref 2 Address/Number

Credit Requirement

Please indicate the average amount of credit you anticipate needing each month:

Agreement & Declaration

I/We hereby apply to open a trade account with K Borley & Son Ltd. I/We confirm that the information provided is accurate and complete. I/We agree to abide by K Borley & Son Ltd's Terms and Conditions of Sale.

Agreed

Name

First

Last

Position

Signature

Clear Signature

Sign electronically using your mouse or, if on touch screen, your finger or stylus pen.

Date