Apply For A Trade Account

You chose Limited Company, Partnership or Sole Trader

Instructions:

Fill out the following form, ensuring to complete all the required fields indicated with a *
Check that all your details are as required and print this document using the button at the bottom of the form.
Ensure you sign the printed form, then send it to us at H Brettell & Sons Ltd, 20-24 Chestnut Avenue, Forest Gate, London, E7 0JH.
Click the 'Submit Form' button when you have finished.
If you have any problems, please contact us

1. GENERAL INFORMATION

Name* :			Date of birth* :
Company name* :
Description of business* :
Trading address* :			Postcode* :

Telephone number* :			Mobile number :
Email address* :
Date business commenced* :
Approx. credit required per month* :

2. BANK DETAILS
Bank / Building society name* :
Bank / Building society address* :
Account number* :			Sort code* :

3. LIMITED COMPANY INFORMATION
Registered office* :
Company registration number* :
Date of incorporation* :
Directors* :

PARTNERSHIP INFORMATION
Partner 1 Name and address* :

Partner 1 Date of birth* :
Partner 2 Name and address* :

Partner 2 Date of birth* :

PLEASE SUPPLY A COPY OF YOUR LETTERHEAD WITH THIS APPLICATION.

5. CONSENT

Terms & Conditions Of Supply
I / We understand that goods can only be supplied on the basis of the Standard Terms & Conditions of H. Brettell & Sons Ltd and its subsidiaries, a copy of which can be found here.

I / We give my / our consent to contact my / our Bank / Building Society regarding this application.

Data Protection Act 1998 Notice
Where I / we provide you with personal data ("data"), I / we understand that the data will held securely in confidence and processed for the purpose of carrying out your business and associated activities ("Activities"). In considering my/our application, I / we accept that you may consult with and disclose the data to credit reference agencies, banks, credit insurers and other responsible organisations outside your business that you have nominated ("third parties"), and 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 in writing and pay the applicable fee.

Optional for direct marketing purposes
I agree to you using the data for direct marketing purposes

Signed :

Name : CAPITALS*

Status* :

(Director/Partner/Individual etc)

Date* :

Please tick if you wish to receive information from H Brettell & Sons Ltd on product updates, forthcoming promotions, new services and other information we consider to be helpful or useful to you as a valued customer.

INTERNAL USE ONLY

Approved by :
Account number :
Credit limit :
Rep code / Price class / Area code :

Print Form


H. BRETTELL & SONS LTD \| 20-24 CHESTNUT AVENUE - FOREST GATE - LONDON - E7 OJH \| TEL : 020 8555 4037
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