Credit Account Application Form

Enquire about our handebags

Get a haulage or delivery quote

Business Contact Information
Contact Name*
Telephone*
Email*
Address*
City*
County*
Postcode*
In Business Since*
Business Type*
- Sole Trader
- Partnership
- Limited Company
- Other
Business and Credit Information
Postal Address*
City*
County*
Postcode*
Telephone*
Email*
Bank Name*
Bank Address*
Telephone*
City*
County*
Postcode*
Business / Trade References
Company Name*
Company Name*
Contact Name*
Contact Name*
Address*
Address*
City*
Postcode*
City*
Postcode*
Telephone*
Telephone*
Email*
Email*
Invoice Address / Accounts Department
Department*
Contact Name*
Is a Purchase Order number required on invoice
Monthly credit amount required:*
Telephone:*
Email
Agreement
1. All invoices are to be paid within 30 days following the date of the invoice. 2. Any queries arising from invoices must be made within seven working days of receipt of invoice 3. By submitting this application you authorise Hillside Delivery Service ltd to make enquiries into the banking and business/trade references that you have supplied.
Signature*
Signature*
Title*
Title*
Date*
Date*
Comments
This field is for validation purposes and should be left unchanged.

Business Contact Information