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Apply for a Credit Account today
Please complete the form below to apply for a Credit Account with Crossfold
Company Information
Company Name
*
Trade Name (If different)
Company Website
Email
*
Telephone
*
Type of Business
*
Select an option
LTD Company
Sole Trader
Government/Local Authority
LLP
Public Limited Company
Other
Full Trading Address
Trading Address
*
Address Line 1
Address Line 2
Town
*
County
*
Post Code
*
If the same as full trading address
Registered Address
Business Address
Address Line 1
Address Line 2
Town
County
Post Code
Buyer Contact
Buyer Name
*
Buyer Email
*
Buyer Telephone
Buyer Mobile
Accounts Contact
Accounts Contact Name
*
Accounts Email
*
Accounts Telephone
Accounts Mobile
Nature of Business
*
Credit Limit Requested
*
Company Registration number
*
VAT number
*
Bank Details
Bank Name
*
Account Number
*
Sort Code
*
1st Trade Reference
Name
*
Telephone
*
Email
Address
2nd Trade Reference
Name
Telephone
Email
Address
How did you hear/find out about Crossfold?
*
Please attach a copy of your company letterhead
*
Yes i want to be the first to hear about promotions, offers, events
*
I/we undersigned hearby apply to open trading account with Crossfold Electrical Wholesalers LTD.
I/we have read, understand and agree to the
terms & conditions
from Crossfold Electrical Wholesalers LTD.
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Where to find us
Units 11 + 12 Prospect Business Park Langston Road Loughton IG10 3TR