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Account Application

Account Application
Name of Company / Firm / Organisation:
Trading Name (if different)
Date Established:
Company Registration No.:
Names of all Directors:
Statement Address:
Buying Contact:
Telephone:
Fax:
Mobile:
Email:
Accounts Contact:
Telephone:
Fax:
Mobile:
Email:
For Sole Proprietors / Partnerships only  
Name: (Senior Partner / Associates)
Address:
Date of Birth:
Name: (Senior Partner / Associates)
Address:
Date of Birth:
Delivery Address (if different from Statement)
Telephone:
Invoice Details:
If address, please give details if different from statement:
Trade Ref. Name:
Trade Ref. Address:
Telephone:
Trade Ref. Name:
Trade Ref. Address:
Telephone:
Company Details  
Local Branch:
Monthly Credit Limit Required:
If other, please state limit required:
Your Company Turnover:
If other, please state your turnover:
Your Industry Type / Category:
If other, please state industry type / category:
Employees:
If other, please your number of employees:
Aprox Annual Spend with Wholesalers:
If other, please state your annual spend:
Additional Information
How did you hear about BEW?
Do you have an existing contact within BEW?
If YES who is your existing contact?
   
Declaration and Data Protection Notice
I / we confirm that the information given in this (Credit Account Application Form) is in all respects true and accurate. I/we confirm that I/we have read and understood your terms and conditions of (Sales / Business) and I / we unconditionally accept that those terms and conditions shall be the only ones that apply to all sale contracts which I / we may conclude with you.
Data Protection Act 1998 Notice Words shown in italics are defined in the Data Protection Act 1998 ("the Act")
Where I / we provide you with personal data, I / we understand that the data will be held securely in confidence and procesed for the purpose of carrying out your wholesaling supply business and associated activities. In considering my / our application, I / we accept that you may consult with and disclose the data to credit reference agencies, bank, credit insurers and other responsible organisations outside your business that you have nominated ("third parties") and that such third parties may process the data. I / we understand that Under the Act I / we have a right to know what data you hold on me / us if I / we apply to you in writing and pay the applicable fee.
Do you accept these terms & conditions?
 

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Account Application, image 11

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