• Evesham 01386 446700
  • Tewkesbury 01684 293482
  • Worcestershire 01905 753840
CREDIT APPLICATION

 
Company Details
     
Type of Company   Sole Trader Partnership Ltd Company Other (please specify)
Company Name (in full)  
Trading Name  
Company Address  
 
Town/City  
County  
Postcode  
Telephone  
Fax  
Email  
Website  
Contact Name  
Type of Business  
Principal Activity  
Registered Address  
 
Town/City  
County  
Postcode  
Company Reg. No:  
VAT No:  
Date Established:  


Directors/Principals
  Please give the full names of all Directors/Principals
1.  
2.  
3.  
4.  

Trade Reference 1
     
Company  
Address  
 
Town/City  
County  
Postcode  
Telephone  
Fax  
Contact Name  
Date Opened  
Credit Limit  

Trade Reference 2
     
Company  
Address  
 
Town/City  
County  
Postcode  
Telephone  
Fax  
Contact Name  
Date Opened  
Credit Limit  

General
     
Do you issue order numbers   Yes No Written Verbal
   
   

Monthly Credit Limit Required
     
Enter Amount   £ 

 
I/We in consideration of being granted account facilities agree to make settlement of accounts in accordance with the terms and conditions of Green-Line Contracts.

I/We understand that:
Enquiries may be made with credit reference agencies who will retain a record of such enquiries.

Signature:  
Date:  
Name:  
Position Held:  
 

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