DWM

CALL: 08456 444 906
EMAIL: sales@dwm-uk.com

Account Application

 

Unit 26, Millshaw Park Industrial Estate, Millshaw Park Drive,

Leeds, LS11 0LR.

Tel: 08456 444 906 Fax: 08456 444 668

Email: sales@dwn-uk.com Web: www.dwm-uk.com

 

Date: ..........................................................

 

 

Name of Company/Business:

 

Trading Name (if different): .............................................................................................................................................

 

Address: .....................................................................................................................................................................

 

.........................................................................................................Post Code: .................................................

 

Telephone No: ................................................................... Fax No: ..........................................................................

 

Email: .........................................................................................................................................................................

 

Numbers Of Years Trading: .......................................................................................................................................

 

Company Registration No:........................................................ Vat No: ....................................................................

 

Type Of Business: ......................................................................................................................................................

 

Business Status: Limited Co / Sole Trader / Partnership / other ........................................................................

 

 

Directors / Proprietors / Shareholders:

Name(s):

 

1: ...............................................................................................................................................................................

 

2: ...............................................................................................................................................................................

 

3: ...............................................................................................................................................................................

 

4: ...............................................................................................................................................................................

 

Date Business Established: ......................................................................................................................................

 

 

 

Bank Details

 

Bank Name: ................................................................................................................................................................

 

Address: .....................................................................................................................................................................

 

........................................................................................................................................Post Code: .........................

 

Account No: ........................................ SortCode: ....................................... Credit Required: £ .............................

 

 

 

 

Office Use Only

Trade References:

 

1, Name: ................................................................................

 

Type Of Business: .............................................................

Contacted: ................................................

Address: ............................................................................

Replied: ....................................................

...........................................................................................

 

Post Code: ........................................................................

 

Telephone: ........................................................................

 

Fax: ...................................................................................

 

Email: ................................................................................

 

Credit Limit: ......................................................................

 

2, Name: ................................................................................

 

Type Of Business: .............................................................

Contacted: ................................................

Address: ............................................................................

Replied: ....................................................

...........................................................................................

 

Post Code: ........................................................................

 

Telephone: ........................................................................

 

Fax: ...................................................................................

 

Email: ................................................................................

 

 

 

Copy of Letterhead Attached:

 

I/We apply for opening of a credit account and declare the above details to be correct. I/we confirm receipt and acceptance of Direct Wholesale Marketing General Conditions of Trade.

 

Authorised Signatory: .......................................................................................................

 

Print:

 

Name: ...............................................................................................................................

 

Position: ...........................................................................................................................

 

Date: ................................................................................................................................