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Account Holder Name

Business Name & Trading Name

Phone

Your Website

Registered Office address:

Companies house Registration number

PSC 1 Name: (person of significant control – 25% or above company control or ownership)

Address of PSC1:

Percentage of ownership or number of shares:

PSC 2:

PSC2 Address:

Percentage of ownership or number of shares:

VAT Registration Number:

Number of employees:

Estimated Annual sales:

How many years have you been trading?

Trade reference one:

Value of Annual purchases

Trade reference two:

Value of Annual Purchases:

Amount of Credit required:

Name of Managing Director

Name of Accounts team contact:

Accounts Email:

Accounts Phone Number:

Extension Number (if required)

Other Details