Credit – Crossfold

Company Information
Company Name*
Trade Name (If different)
Company Website
Email*
Telephone*
Type of Business*
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.

Units 11 + 12 Prospect Business Park Langston Road Loughton IG10 3TR

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