Account Application Form - Leisure Vehicle Services

Trade Account Application

Full Name of Company(Required)

Type of Organisation(Required)

Limited Liability Company

Partnership

Sole Trader

Other

Directors/Partners/Owners Name(s)(Required)

Number of Years in Trade(Required)

Trading Name(Required)

Principal Contact Person(Required)

First Name Last Name

Invoice Address(Required)

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

Delivery Address (Please leave blank if delivery address is the same as the invoice address)

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

Phone Number(Required)

Email Address(Required)

Website Address

Accounts Contact Person(Required)

First Name Last Name

Accounts Phone Number(Required)

Accounts Email Address(Required)

Bank Name & Address(Required)

Sort Code(Required)

Account Number(Required)

Credit References

Please provide the full names and contact details of 2 existing creditors below.

1. Company Name(Required)

1. Contact Name(Required)

First Last

1. Contact Number(Required)

1. Contact Address(Required)

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

2. Company Name(Required)

2. Contact Name(Required)

First Last

2. Contact Number(Required)

2. Contact Address(Required)

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

Credit Limit Requested(Required)

Terms and Conditions / Applicant Signature

A full copy of our terms and conditions are available at the following link: https://leisurevehicleservices.co.uk/tc/

Full Business Name of Applicant(Required)

First Name Last Name

Signature(Required)

By signing this document, I acknowledge that I have read and agree to Leisure Vehicle Services's terms and conditions.

Date(Required)

.(Required)

I understand and agree to Leisure Vehicle Services's terms and conditions.