Myers Group - Credit Application Form

Application For A Credit Account

Version 2024.06.03
Applicants
What type of customer are you?*

Limited CompanyNon-Limited CompanySelf-BuildCharity
Company Not Applicable Radio

Not Applicable

Invoicing
Invoicing address*
Enter your address excluding postcode
Invoicing address postcode*
Enter your postcode of your address
Invoicing contact name*

First NameLast Name
Invoicing contact telephone number*
e.g. 01234567890
How would you like to receive your invoices?*

EmailPost
Email address for invoices*
e.g. person@company.com
Email invoice options*

Email(s) with single attachmentEmail with multiple attachmentsEmail with combined attachmentEmail notification only - login to portal to access documents
Do you require official purchase orders?*

YesNo
Name of person responsible for purchase orders authorisation*

First NameLast Name
Contact number for purchase order authorisation*
e.g. 01234567890
Bank name*
The name of your issuing bank
Account number*
Just numbers no spaces or dashes
Sort code*
Just numbers no spaces or dashes

Customer Declaration
Are there any other notes you would like to add before submission?
If credit facilities are granted I/we undertake to adhere to your Myers Group Terms & Conditions of Sale and to settle my/our account within
30 days of the statement date. Myers Group (1959) Ltd reserves the right to withdraw credit facilities at any point. I have read the Myers
Group Privacy Policy and give my consent for Myers Group (1959) Ltd to retain and use my/our data in accordance with that policy.
Signed*

Clear
First Name*
Last Name*
Position*
Ready To Submit
Thanks for filling out our Application For Credit form press Submit to send this to our credit control team to process.
We have an online Customer Account Portal where you can access all your account information. Our Credit Services team will organise this for you once your account has been created.
Should be Empty:

Application For A Credit Account