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Accounts application form 
Please enter the name of your Company, Body, Organisation, or Individual in whose name the account will be opened, select the type of application from the choices listed plus the appropriate sections that follow.

You should read the declaration at the end carefully before filling in the final details and clicking the "Submit Application" button.
NAME
Of Company, Body, Organisation, or Individual in whose name the account will be opened.
TYPE OF APPLICANT
you are applying for an account on behalf of:

Please mark one of these 5 options and complete the relevant sections of the form.

This is because we need different informat from different types of organisation.
Limited Company Established over 2 years
Please complete sections 1, 2, 3, and 8
New Limited Company under 2 years old
Please complete sections 1, 2, 3, 6, and 8
Non trading body eg NGO, Charity, or Local Authority
Please complete sections 1, 3, 4, and 8
Partnership, LLP, Sole trader, or Unlimited Co
Please complete sections 1, 3, 5, 6, and 8
Yourself as an individual (eg Self build, DIY)
Please complete sections 1, 3, 7, and 8
SECTION 1 - All applicants
WHICH BRANCH
Will you mainly trade with?
Avonmouth Willand
HOW MUCH CREDIT
do you require?
£500 £1,000 £2,500 £5,000 £10,000 over £10,000
If more that £10,000 please indicate the requirement here:
SECTION 2 - Limited Companies only
REGISTERED No.
DATE INCORPORATED
REGISTERED OFFICE
SECTION 3 - All applicants
TRADING ADDRESS / CONTACT ADDRESS

(Home address if an individual)
INVOICE ADDRESS

(If different from the above)
ACCOUNTS CONTACT
(Name)
ACCOUNTS PHONE No.
ACCOUNTS FAX No.
ACCOUNTS EMAIL
BUYER CONTACT
(Name)
BUYER PHONE No.
BUYER FAX No.
BUYER EMAIL
DO YOU REQUIRE
Verbal order Numbers Written Orders

Before we can book any goods to your account?
SECTION 4 - Non-trading bodies only
TYPE OF ORGANISATION
Government Department Local Authority Charity NGO Other...
If other, please state type:
DEPARTMENT
(If applicable)
SECTION 5 - LLPs Partnerships, Sole Traders, and Unlimited Companies
TYPE OF ORGANISATION
LLP Partnership Sole Trader Unlimited Company
DATE ESTABLISHED
VAT No (If have one)
IF SOLE TRADER

HOME ADDRESS OF PRINCIPAL
YEARS RESIDENT AT ABOVE ADDRESS?
IF LLP, PARTNERSHIP, or UNLIMITED COMPANY
Please list names and address of all Directores or Partners below. If insufficient space, please us separate sheet.
Name
Address
1
2
3
4
5
6
SECTION 6 - New Limited Co's, Partnerships, LLPs, Sole Traders, and Unlimited Companies
TRADE REFERENCES

Please give the name and address of two firms you have credit accounts with
SECTION 7 - Individuals only
YEARS RESIDENT AT YOUR ADDRESS?
HOW WOULD YOU DESCRIBE YOUR BUILDING ACTIVITIES?
Self-Build D-I-Y Other
IMPORTANT: As an individual, by signing this credit application form it is deemed that you have made a personal guarantee regarding account payment.
SECTION 8 - All applicants
DECLARATION

I/We

  • Request a credit account and confirmt that the details given are correct and thatI am authorised to sign this declaration.
  • Agree to comply with your terms of payment (Nett Monthly Account) - i.e. invoices to be paid at the end of the month following the date of invoice.
  • Accept that Ashmead will use credit agencies to establish and monitor credit limits and that any credit limit advised may be withdrawn or reduced at any time without notice.
  • Agree that Ashmead may carry out personal credit checks on any persons named in the application.
  • Understand that, in accordance with the Data Protection Act 1998, that the information supplied will be held on a database and will e used for administration purposes.
  • Accept that Ashmead will monitor and record payments and that such information may be shared with agencies or other organisations for credit reference and collection purposes.
  • Have received and noted a copy of your Terms and Conditions of Sale and agree to them.
NAME
ORGANISATION (If applicable)
POSITION (If applicable)
DATE
I have read and agree to the declaration
Any Queries? Need help with the form?

Please ring

Avonmouth branch: 0117 982 82 82

Willand branch: 01884 82 00 78