Credit Application

Registered Business Information

Contact Name

Company Name

Phone

Fax

Email

Registered Company Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date Business Commenced

Type of Business

Sole Trader
Partnership
Limited
Other

Key Contact Information

Contact Name

Position

Phone

Fax

Email

Work Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Sales/Purchaser Information

Contact Name

Position

Phone

Fax

Email

Phone Key Registered

Work Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Accounts Information

Accounts Contact

Phone

Fax

Email

Accounts Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

VAT Number

Company Registration No.

Credit Limit Request

Your Request (£)

Trade Reference Request 1

Company Name

Name

Position

Phone

Fax

Email

Work Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Trade Reference Request 2

Company Name

Name

Position

Phone

Fax

Email

Work Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

I/We hereby request that an account be opened for me/us in accordance with the above details and this form has been completed to my true knowledge. I/We agree that all orders supplied to Danson Electrical UK Limited, and goods received from Danson Electrical UK Limited shall be subjected to your standard Terms & Conditions of Sale and I/We confirm that Accounts will be paid in accordance with The Commercial Terms and Payment Settlement Terms issued to you.

By submitting this application, you authorize Danson Electrical UK Limited to undertake the necessary Trade References that you have supplied.

Disclaimer

• We shall inform you of your Credit Limit and your Payment Terms via Email and Post once the necessary references have been undertaken.
• As part of the Credit Account Opening, Danson Electrical UK Limited reserve the right to perform Credit Checks on your Business.
• We also reserve the right to implement Proforma Invoices on your first order.

Signature

Clear Signature

Name

Position

Date

023 8114 0059

sales@danson.uk

Registered Business Information

Key Contact Information

Sales/Purchaser Information

Accounts Information

Credit Limit Request

Trade Reference Request 1

Trade Reference Request 2

sales@danson.uk

023 8114 0059