Seconique

SECTION 1

Please complete this section if a LIMITED/PLC COMPANY

Company Name:

Contact Name:

VAT Registration Number:

Registered Office Street:

Registered Office Town:

Registered Office County:

Registered Office Post Code:

Registered Office Telephone Number:

Registered Office Fax Number:

Registered Number:

Company Secretary:

Trading Address If Different:

Trading Address Telephone Number:

Trading Address Fax Number:

E-mail Address:

Bank Name:

Bank Address:

How long has your current business been established:

Account Number:

This section MUST be completed with a full name, home address, post code and telephone number of Directors involved in the business
See Section 5

1. Name:

Home Address:

Home Telephone Number:

Mobile Telephone Number:

2. Name:

Home Address:

Home Telephone Number:

Mobile Telephone Number:

If a subsidiary of another Company give name, address, post code and telephone number of holding company:

Number of Branches:

How long has your current business been established:

If your Company is a new business you MUST provide your Bank Account details. As proof of trading we require a recent Utility Bill.

SECTION 2

Please complete this section if OTHER BUSINESS

Proprietor:

Trading Name:

Trading Address:

Trading Address Telephone Number:

Trading Address Fax Number:

Mobile Telephone Number:

E-mail Address:

Bank Name:

Bank Address:

Account Number:

How long has your current business been established?

This section MUST be completed with full name, date of birth, home address, post code and telephone number of partners or person(s) involved in the business
See Section 5

1. Name:

Date of Birth:

Home Address:

Home Telephone Number:

Mobile Telephone Number:

2. Name:

Date of Birth:

Home Address:

Home Telephone Number:

Mobile Telephone Number:

If your Company is a new business you MUST provide your Bank Account details. As proof of trading we require a recent Utility Bill.

SECTION 3

THIS SECTION APPLIES TO ALL APPLICANTS

Give TWO current trading references:-

It is essential you quote the full name, address, post code and telephone number of your referees

1. Company Name:

Contact Name:

Address:

Telephone Number:

Fax Number:

2. Company Name:

Contact Name:

Address:

Telephone Number:

Fax Number:

By completing this section you are giving us authority to take up these references.

SECTION 4

Please state the names of the persons authorised to order on your behalf:-

SECTION 5

WE WELCOME NEW CUSTOMERS AND AIM TO PROVIDE THE MOST EFFICIENT SERVICE POSSIBLE. WE ARE, HOWEVER, CONSCIOUS OF BOTH THE CURRENT PREVENTION OF MONEY LAUNDERING REGULATIONS AND INCIDENCES OF FRAUD, HENCE THE QUESTIONS IN THE 'CREATE AN ACCOUNT' SECTION.

ALL FIRST ORDERS MUST BE PAID IN CASH/STERLING OR BY BANKER'S DRAFT OR BANK TRANSFER AND IF, THEREAFTER, YOU WISH TO PAY BY CHEQUE OR CREDIT CARD (WITH TRANSAX FACILITY) ALL THE RELEVANT INFORMATION MUST BE SUBMITTED OTHERWISE WE REQUIRE PAYMENT BY CASH/STERLING, BANKER'S DRAFT OR BANK TRANSFER FOR YOUR NEXT FIVE TRANSACTIONS, AFTER WHICH OUR CREDIT CONTROL DEPARTMENT WILL REVIEW THE SITUATION.

IF YOU REQUIRE ASSISTANCE, PLEASE CONTACT OUR CREDIT CONTROL DEPARTMENT, WHO WILL BE PLEASED TO ASSIST YOU. (TEL: 0870 863 6103)

SECTION 6

WE UNDERSTAND THAT IN APPLYING TO TRADE WE AGREE TO THE TERMS OFFERED BY THE COMPANY, I.E., STRICTLY C.O.D.

WE ACKNOWLEDGE THAT THE GOODS AND ANY OTHER GOODS DELIVERED BY THE SELLER TO THE BUYER SHALL REMAIN THE SOLE AND ABSOLUTE PROPERTY OF THE SELLER AS LEGAL AND EQUITABLE OWNER UNTIL SUCH TIME AS ALL MONEY DUE TO THE SELLER HAS BEEN PAID TO THE SELLER.

DATA PROTECTION ACTS 1984 AND 1998 ('THE ACT')
‘ALL INFORMATION HELD BY SECONIQUE PLC, WILL BE USED ONLY FOR THE PURPOSES REGISTERED UNDER THE ACT, INCLUDING GENERAL BUSINESS PURPOSES, MAKING CREDIT DECISIONS AND MARKETING. YOU MAY WRITE AND ASK FOR A COPY OF YOUR DETAILS HELD BY THE COMPANY’.

INVOICES PAID LATE ARE LIABLE TO INTEREST AT CURRENT RATES. ANY QUERIES OR DISPUTE OF INVOICE TO BE MADE IN WRITING WITHIN 10 DAYS OF RECEIPT.

WE BELIEVE THE INFORMATION GIVEN ABOVE TO BE FULL AND CORRECT.

Name:

Date:

PLEASE POST A SAMPLE LETTERHEAD TO ACCOMPANY THIS APPLICATION

Submit Data

Seconique Plc

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