Credit Account Application

Now your ordering can be easier and faster with a credit account, and it is simple to open one at Till & Whitehead.

Credit Account Advantages

Simply complete the form below and we will process your application as quickly as possible.

** 60 days credit applies to orders placed on the first day of each month. Standard payment terms are 30 days from month end.

Your Details

First Name:

Surname:

Email Address:

Marketing Consent

We would like to send you occasional emails about our products, services, promotions and special offers. Please tick the box to confirm your consent to receiving these. You can unsubscribe at any time.

Company Details

Company Name:

Address:

Town / City:

County:

Postcode:

Telephone:

Fax:

Head Office Details (if different from above)

Company Name:

Address:

Town / City:

County:

Postcode:

Telephone:

Fax:

Additional Company Information

Company Registration No.:

VAT Number:

Date Business Established:

Description of Business Activity:

Credit Information

Estimated purchased over next 12 months:

£ .00

Credit limit requested:

£ .00

Contact Information

MD / Proprietor Names(s):

Accounts Contact Name:

Accounts Email Address

Invoices, credit notes and statements will be emailed to this address.

Terms and Conditions

Tick this box to agree to our Terms & Conditions

Verification

Please complete the verification below before submitting this form

Credit Account Advantages

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