Credit Application form

Please complete the online form below to apply for a credit account with us.

Application for credit with:*
Full Business Name:*
Trading Address:*
Length of time at Trading address:
Invoice/Statement Address (if different):
Length of time at Invoice address:
Phone:*
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E-mail:*
Type of business:
Annual turnover:
Primary Accounts Contact:*
Primary Accounts Phone:*
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Primary Accounts E-mail:*
Secondary Accounts Name:
Secondary Accounts Phone:
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Secondary Accounts E-mail:
Legal Entity:*
Date business formed:*
Date business commenced trading:*
Registered Number (if Limited):*
Registered Address (if Limited):*
Sole Proprietor/Partners/Directors details
Owner 1 Name:*
Owner 1 Address:*
Owner 1 Phone:*
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Owner 2 Name:
Owner 2 Address:
Owner 2 Phone:
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We reserve the right to conduct searches on any of the addresses supplied, now or in the future, in line with the GDPR.
Trade references (NOT your bankers, accountants or companies with whom you are associated
Reference 1 Company Name:*
Reference 1 Address:*
Reference 1 Phone:*
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Reference 1 Account Ref:
Reference 2 Company Name:
Reference 2 Address:
Reference 2 Phone:
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Reference 2 Account Ref:
Reference 3 Company Name:
Reference 3 Address:
Reference 3 Phone:
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Reference 3 Account Ref:
Is your company associated with or a subsidiary of any other company?*
If Yes, please provide details:
Have you at any time had or applied for a credit account with any Company within the Dudman Group?*
If Yes, please give details including any existing a/c numbers:
Estimate the total credit limit you require:*
Please provide a specimen letter heading:*
Declaration
I/We the undersigned apply to the Company for Credit facilities. I/We understand that you may make a search via a licensed credit reference agency and will retain a record of the search. I/We have read and understood your terms and conditions and accept these as the basis of trading. I/We recognise that any credit limit offered may be reviewed and adjusted or transferred (within the Dudman Group) periodically at the sole discretion of the Dudman Group. I/We recognised that title to goods remains with the Company until such goods have been paid for. I/We agree that where the applicant is acting as a subcontractor, the Company is entitled to inform the main contractor of its Terms & Conditions. I/We have checked the details on the Credit Application Form and am/are satisfied that the information is correct.
Our Terms and Conditions can be found here.
I/We agree to the Terms and Conditions:*
Name of company authorised representative completing this application:*
Word Verification: