Application Form

Credit Application Form

Company name*

Trading as*

Contact Name*

Company reg no*

account details

Account address*

Account Tel*

Account Mobile*

Fax

Accounts Email*

Delivery details

Delivery address (For orders)*

Accounts Tel*

Orders

Contact No. (for orders)*

Email( for orders)*

Please share with us your current product list

Please add valid file type pdf, doc, docx, pptx, xlsx, txt.

For us to be able to provide you with the best possible pricing, please tell us about what you'd be looking to purchase regularly from Ascot Wholesale. We'll get you the best pricing.

GENERAL MANAGERS INFORMATION

GM's Email*

VAT No*

Credit Limit Required*

GM's Tel*

Director Name*

I am authorised to approve this account and agree to the strict Terms & Condition set out by Ascot Wholesale LTD

Your name*

Positions*

Date*

DATA PROTECTION ACT 1998
We may make a search with a credit reference agency, which keep a record of that search and will share that information with other businesses. We also make enquiries about the principle directors with a credit reference agency.

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