Autoparts Account Application
Autoparts (S.Wales) Ltd.
Business Type
*
Limited Company
LLP
Sole Trader
Company Number
*
Business Name
*
Trading as
Years Trading
*
If less than 1 year, put 0.
Business Address
*
Street Address
Street Address Line 2
City
County
Post Code
Email Address
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Business Type
*
Mechanical Workshop
Car Sales
Bodyshop
Motor Factor
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Company Directors
Director 1 Name
*
First Name
Last Name
Director 1 Home Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Director 1 Phone Number
*
-
Area Code
Phone Number
Director 2 Name
First Name
Last Name
Director 2 Home Address
Street Address
Street Address Line 2
City
County
Postal Code
Director 2 Phone Number
-
Area Code
Phone Number
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Account Information
Account Type
*
Cash on Delivery
Weekly Account
Monthly Account
Required Credit Limit
*
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Trade References
I/We authorise you to take up references at any time from the under mentioned bank and trade sources (we will make searches with a credit reference agency, which will keep a record of those searches and will share that information with other businesses. We may also make enquiries about the principal directors with a credit reference agency.
Company Name
Account Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Contact For Payment
Name
First Name
Last Name
Postition
Phone Number
-
Area Code
Phone Number
How would you like your statement delivered?
Email
Post
Autoparts Delivery
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Terms & Conditions
Signature
*
Submit
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