AL Batavon Group | Batavon Steelwork Accounts Application Form

Full Company Name

Date Company Started / /

Web Address
Address

Town/City
County
Postcode
Length at Current Address
If less than two years please provide previous address

Address

Town/City
County
Postcode

Is the statement address different to the invoice address? Y N

Address

Town/City
County
Postcode
Telephone
Accounts Telephone
Buying Telephone
General E-mail
Accounts E-mail
Fax Number
Type of Business

Public Limited Company

PrivateLimited Company

Sole Trader

Partnership

Company Registration Number
Parent Company

Are any of the directors, owners or partners in this business un-discharged bankrupts? Y N

Have any of the directors, owners or partners in this business held any other credit accounts with the company? Y N

If yes please list account names

Sole Traders/Partnerships Only - Home Address(es) of proprietor/all partners

Full Name

Address

Town/City
County
Postcode
Length at Current Address
If less than two years please provide previous address

Address

Town/City
County
Postcode

Is the business trading from the proprietor's home address? Y N

Are the business premises owned by the proprietor? Y N

Call Off Methods (eg. fax/e-mail/written/verbal)

Allowable Personnel (State Below)
If available to all please tick here

Name
Name
Name
Name

Expected Monthly Credit
Name of Principle MD
Financial Controller
Accounts Contact
Bank Name and Address

Account Number

Sort Code / /

Please provide two references

Full Name
Address

Town/City
County
Postcode
E-mail
Telephone
Fax

Full Name
Address

Town/City
County
Postcode
E-mail
Telephone
Fax

We give permission to contact the above references and our bank to provide references

MUST BE SIGNED/APPROVED BY A DIRECTOR, PARTNER OR PROPRIETOR OF THE BUSINESS:

Name
E-mail

I have read and agree with the AL Batavon terms and conditions and I the undersigned confirm that all of the aforementioned details are truthful and correct.
Click here to read the Terms and Conditions of Payment
Click here to read the Terms and Conditions of Sale

Director Approval

Please Print Name

Position

Date / /

By submitting the form you are giving authorisation for AL Batavon to contact credit references given above with regards to payment history, credit limits and account performance.

Please submit a credit application form for risk assessment purposes. Once your account has been approved, signed confirmation of our terms and conditions must be received before your account will become active.

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