Reseller Account Application (cash and credit)

Contact
First name
Surname
E-mail
Role
Telephone (direct line) or mobile number
Company
Company name
Does the company trade under a different name?
Trading name
Company telephone number
Invoicing address
Trading / delivery address
Trading / delivery address
Company type
Please specify company type
Company registration number
VAT number
Part of subsidiary?
Parent company name
Is the company authorised to obtain goods and services at the zero rate of VAT?
Please attach a copy of Form VAT 13B (if applicable)

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Do you require credit? (Please note: if you select 'no', you'll be setup with a prepaid cash account, payment prior to dispatch)
Credit terms are generally only available after a period of pro forma prepaid trading, and after a certain level of business has been achieved.
Credit Application
Names and positions of company directors
Issued capital
Years traded
Does the company have any County Court Judgements registered against it?
Please provide details of County Court Judgements
Premises
Please attach a photo or scan of the company letterheaded paper

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Please attach the latest signed audited accounts (if available)

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Please state annual turnover for each of the last 3 years
Maximum monthly credit required
Currency
Accounts contact
Accounts contact phone number
Accounts contact email
Bank details
Bank name
Bank address
Bank telephone number
Bank sort code
Bank account number
Number of years this bank has held the company account
Trade references
To offer credit terms, we will require two trade references. Some companies don't issue trade references, so please double check before listing a company in this section.
Trade reference 1
Trade reference 1: Company name
Trade reference 1: Company address
Trade reference 1: Contact person, email, and phone number
Trade reference 2
Trade reference 2: Company name
Trade reference 2: Company address
Trade reference 2: Contact person, email, and phone number
Agreement
By submitting this form, you hereby certify that:
All information contained within is complete and accurate. You have the authority to act on behalf of the credit applicant. You will make settlements of accounts within agreed credit terms. You accept that “Title of Goods” supplied remain with Videnda Distribution Limited until paid in full. You accept the standard conditions of sale of Videnda Distribution Limited, as amended from time to time. In accordance with GDPR, you consent to and authorise Videnda Distribution Limited to process and retain data provided in respect of this application. Data will not be shared outside of the company, and will not be used for marketing purposes.
Confirmation that you agree to the above terms and conditions
Should be Empty:

Contact

Company

Credit Application

Bank details

Trade references

Trade reference 1

Trade reference 2

Agreement