OFFICE USE ONLY
ACCOUNT CODE
CREDIT LIMIT
PRICE BAND
TYPE OF PAYMENT
DATE OPENED
SIGNED
New Customer Application
(Please see Terms & Conditions of Sale)
To be completed by New Customer:
Full Legal Title and Trading Name:
Sole Trader:
Partnership:
Limited Company:
Invoice Address
Company Registration Number:
VAT Number:
Company Name:
Street:
Town:
County:
Postcode:
Telephone Number:
Fax Number:
Mobile Number:
E-mail:
Delivery Address (If different from above)
Company Name:
Street:
Town:
County:
Postcode:
Telephone Number:
Fax Number:
Mobile Number:
E-mail:
Registered Office Address (If limited company)
Company Name:
Street
Town:
County:
Postcode:
Description of Business: (e.g. Pet Shop, Boarding Kennels, Internet etc):
Which other wholesalers do you use?
Current weekly spend with other wholesalers:
£250-£500 / £501-£750 / £751-£1000 / £1001-£2000 / £2000+
May we e-mail you with special offers etc?
Yes / No
Trade References:
I/We authorise you to take up references at any time from the under mentioned bank and
trade sources (We will make searches with credit reference agencies, which will keep a record
of those searches and will share information with other businesses. We may also make
enquiries about the principal directors with a credit reference agency)
Trade Reference 1
Name:
Full Address:
Telephone Number:
Trade Reference 2
Name:
Full Address:
Telephone Number:
Bank Details
We may request a credit reference from your bank from time to time.
Bank Account in Name of:
Bank Account Number:
Bank Name & Branch:
Full Address:
Telephone Number:
Details of Owner / partners / Directors
Sort Code:
Details of Owner / Partners / Directors
We have read and understood and retained a copy of your ‘Terms and Conditions of Sale’ and
agree to trade in accordance with these for any goods supplied. We accept that the title to all
goods supplied to us will remain vested in Trust Pet Products Limited until all amounts
outstanding from us on any account have been paid in full to Trust Pet Products Limited.
I/We also agree to comply with your settlement terms (specified within ‘Terms and Conditions
of Sale’).
I attach a sample of my/our headed paper with this form.
Full Name:
Signature:
Home Address:
Home Telephone Number:
Mobile Number:
E-mail:
Full Name:
Signature:
Home Address:
Home Telephone Number:
Mobile Number:
E-mail:
Full Name:
Signature:
Home Address:
Home Telephone Number:
Mobile Number:
E-mail:
Signature:
Date:
Signature:
Date:
Signature:
Date: