0161 941 2631 Search HOME NEW USED AFTERMARKET OFFERS FINANCE TESTIMONIALS NEWS DOWNLOADS DEPOTS CONTACT Application for Credit Company details Company Type: * Company Partnership Sole trader Full title of company, partnership or sole trader ("the Applicant") * Trading name (if different) Company Reg No VAT No Tel No * Fax no Email * Accounts address Address * Postcode * Registered Office / Principal Address (if different) Address Postcode Contact details Contact name * Contact position * Contact telephone * Contact email * Account Contact Details Contact name Contact position Contact telephone Contact email Amount of credit required per month * Nature of Applicant's Business * References The Company does not accept petrol and oil accounts as references Bankers Name Address Postcode Telephone Fax Email Trade 1 Name Address Postcode Telephone Fax Email Trade 2 Name Address Postcode Telephone Fax Email The applicant agrees that any future trading will be subject to the company's conditions of sale and any amendments or revisions thereof from time to time in force. A copy of the company's current conditions of sale are available on the company's website or on request. I agree to the * company's conditions of sale * Note: Data Protection Act 1998 The applicant authorises the company and any finance company used to purchase goods, machinery, parts or service to carry out checks (including enquiries relating to directors and other individuals) with credit reference agencies (and with the references provided in the credit application) and to disclose such information to one another. The applicant further acknowledges that the agencies concerned may keep and share information supplied to them with other businesses in assessing applications for credit and/or fraud prevention. I agree * Please tick if you would like to accept invoices by email Invoice Email Address Please tick if you would like to accept statements by email Statement Email Address Our Privacy Notice can be viewed here. HOME NEW USED AFTERMARKET OFFERS FINANCE TESTIMONIALS NEWS DOWNLOADS DEPOTS CONTACT Privacy Notice Conditions of Sale Website by Rapid Web Altrincham (HQ) Atlantic Street Broadheath Altrincham Cheshire WA14 5DN Tel : 0161 941 2631 West Midlands Halfords Lane Smethwick West Midlands B66 1EL Tel : 0121 500 1720 Stoke on Trent Victoria Road Fenton Stoke on Trent Staffordshire ST4 2HY Tel : 01782 744 943 Other Depots Hereford Shrewsbury Ruthin Preston Marchington Isle of Man