Trade Account Credit Application

Bearing Basement

Unit 34, 2-4 Balloo Avenue
Bangor,
Co.Down,
BT19 7QT,
Northern Ireland

Tel: 02891 467772
Email: info@bearingbasement.com

Trading Region*
Sorry, we only accept trading applications from the select list of countries above. If you have any other queries please contact us here.
Company Information
Company Name*
Number of Years Established*
Registered Office*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Fax
Correspondence Address
- Different?
Tick if the correspondence address is different to the registered address.
Correspondence Address (if differnent)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone (Correspondence)*
Fax (Correspondence)
Legal Entity*
If other please state:*
Contact Information
Contact Name*
Contact Email*
Trade Reference One
Company Name*
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Fax
Account Reference*
Contact Name*
Length of time account held*
Account Credit Limit*
Trade Reference Two
Company Name*
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Fax
Account Reference*
Contact Name*
Length of time account held*
Account Credit Limit*
Bank Reference
Bank Name*
Bank Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Fax
Account Number*
Sort Code*
Name of Bank Manager*
Length of time account held*
Credit Required
Max Credit Required £/$*
Predicted Monthly Sales £/$*
Terms and Conditions of Sale
I, on behalf of my Company:
- Agree to abide by the Terms and Conditions of Sale as provided to me at the time of this application
- Agree to the standard 30 day payment terms from date of invoice
- Agree to raise any issues within 7 working days with any invoices, products or quantities ordered or products delivered (including faulty products).
Signed*
Job Title*
Name*
Date*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.