Trade Account Registration

First Name

Last Name

Phone Number

Company Details

Company Name

Company Structure

VAT Registered?

Date Business Commenced

Registration Number

VAT Number

Date of Incorporation

Trading Address

Address Line 1

Address Line 2

City

County

Postcode

Country

Previous Trading Address (if less than 3 years)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Delivery Address

Address Line 1

Address Line 2

City

County

Postcode

Country

Bank Details

Bank Name

Branch Address

Branch Sort Code

Account Name

Account Number

Accounts Information

Account Contact

Phone Number for Account Contact

Address for Invoices

Address Line 1

Address Line 2

City

County

Postcode

Country

Details of Directors/Partners

Directors Name and Home Address (previous address to be provided if at home address for less than 3 years)

Are any of the directors, owners or partners in the business an undischarged bankrupt?

Directors Name and Home Address (previous address to be provided if at home address for less than 3 years)

Have any of the directors, owners or partners held any other credit accounts with us? If so, please provide account name(s).

Trade References (2 Required)

Some description about this section

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Telephone

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Telephone

Declaration

I/ we have read your Terms and Conditions available at www.fireandsecurity.wales and agree that the Terms and Conditions will apply to all transactions with Fire & Security Wales.

I/ We confirm that the information provided in this form is accurate and complete.

By submitting this application, you authorize Guardian Edge Ltd t/a Fire & Security Wales to make inquiries into the banking and business/trade references that you have supplied.

I consent to have this website store my submitted information so they can respond to my inquiry

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Trade Account Registration