Application For Credit Account Form

Name Of Company*

Are You?*

A limited company
A partnership
A sole trader

Company Reg. No.

VAT No.

If Not A Limited Company

Proprietor/s (1)

Home Address (1)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Telephone (1)

Email (1)

Proprietor/s (2)

Home Address (2)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Telephone (2)

Email (2)

Your Trading Information

Trading Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Telephone*

Email*

Time at this address (years and months)*

If less than 2 years please supply previous address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Are the business premises owned by the proprietor(s)*

Yes
No

How many years have you been trading*

Monthly expenditure (£)*

Please enter a number from 1 to 99999999.

Amount of credit applied for (£)*

Please enter a number from 1 to 99999999.

Accounts Contact*

List Any County / High Court Judgements Made Against The Applicant In The Last Six Years

Have you (the applicant) had any County / High Court Judgements made against you in the last six years?*

Yes
No

Enter Information here (if applicable)

Are all judgements satisfied?*

Yes
No

Trade References (Preferably Relevant To This Industry)

Do you want to provide Trade References now, or later?*

I would like to provide Trade References now
I would like to provide Trade References later

Reference 1: Name*

First Last

Reference 1: Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Reference 1: Telephone*

Reference 1: Email

Reference 2: Name*

First Last

Reference 2: Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Reference 2: Telephone*

Reference 2: Email

Consent For Use Of Personal information

If you would like to receive direct marketing communications from All Print Supplies Ltd please tick the relevant boxes

By Post
By Telephone
By Email

Consent*

I have read and agree to APS Terms & Conditions Of Sale and the Privacy Policy on this website.

Consent*

I the undersigned confirm that the information given is true to the best of our knowledge. We hereby apply for credit from All Print Supplies Limited and agree by entering my name below that I confirm I have authority to give consent for this application.

Authorised Signature*

Authorised Signee - Print Full Name*

Position*

Date*

Phone

This field is for validation purposes and should be left unchanged.

APS Application For A Credit Account

If Not A Limited Company

Your Trading Information

List Any County / High Court Judgements Made Against The Applicant In The Last Six Years

Trade References (Preferably Relevant To This Industry)

Consent For Use Of Personal information