bing

Payment Details | Phone: +44113 323 7793| Email: sales@qualitybearingsonline.com

UK Flag Australian Flag Canadian Flag European Flag United States Flag

Categories



-
x x

Advanced Search

Application for Credit Account

Apply for a Credit Account!

Until this form has been completed and fully approved by QualityBearingsOnline any transactions must be paid by Credit card.

Please complete the form below:

YOUR BUSINESS DETAILS

Business Name:
Business Address:
Delivery Address (if different):
VAT Registration Number:
Company Registration Number:
Year Company Registered:

FINANCIAL DETAILS

Expected Monthly Turnover:
Total Credit Limit Required:

YOUR SALES DEPARTMENT DETAILS

Sales Contact:
Sales Telephone Number:
Sales E-mail Address:

YOUR ACCOUNTANTS DETAILS

Accountants Name:
Accountants Address:
Accounts Contact:
Accounts Telephone No:
Accounts Email Address:

PLEASE ANSWER THE FOLLOWING QUESTIONS

Have you ever been declared bankrupt?  YES   NO
Have you ever entered a voluntary arrangement?  YES   NO
Have you ever had a court judgment recorded against you?  YES   NO
Have you ever been a director or company secretary of a Limited Company which has gone into liquidation?  YES   NO
If you have answered YES to any of the above please give details:

BANK DETAILS

Bank Name:
Bank Address:
Account Name:
Account Number:
Sort Code:

TRADE REFERENCES – please provide three trade references

Reference 1:
Reference 2:
Reference 3:

TERMS

30 Days Nett Monthly

DECLARATION

By ticking this box I/We hereby apply for a "30 Days Nett Monthly Credit Account" with QualityBearingsOnline Ltd and agree to the following terms & conditions.  
Your Name:
Your Position: