Company Details

Company Name *

Name of Director *

Contact Number *

Company Registration Number *

Business Telephone Number *

Sales Contact *

Sales Email *

Accounts Contact

Accounts Email

Company Type * Select Type Limited Company Sole Trader P.L.C Partnership Other

Bank Details

Credit Limit Required (£)

Name of Bank or Building Society *

Bank Address

Sort Code *

Account Number *

Financial History

Has the company applied for bankruptcy or insolvency in the last 5 years? * Select No Yes

Has any director/owner applied for bankruptcy or insolvency in the last 5 years? * Select No Yes

Declaration

I/We the buyer have received and filled out a copy of Factory Bathrooms Ltd Credit Account Application and agree to abide by their credit terms and conditions in all future transactions. *

Name *

Position *

Signature (optional digital box) *

Date *

Email address *Required

A link to set a new password will be sent to your email address.

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