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TO BE COMPLETED BY ALL APPLICANTS
  • Name of Company/Partnership/Individual
    *
  • Business Address
    *
  • Post code:
    *
  • Business Telephone No.
    *
  • Business Fax No.
  • Mobile:
  • Desciption of Business
  • E-mail:
    *
  • Website:
  • How long has business been established?
    *
  • VAT Reg. No.
  • Will you supply us with a written purchase order?
    YESNO
  • Credit required at any one time £
  • BANK DETAILS
  • Name & address of Banker
    *
  • Account Number
    *
  • Sort code
    *
  • How long have you held this account?
    *
  • ADDITIONAL LIMITED COMPANY DETAILS
  • Registered office address
  • Company registration number
  • Date registered
    //
  • Date registered
  • Name/s of all Director/s
  • Name of company secretary
  • TRADE REFERENCES
  • Name
    *
  • Address
    *
  • Post code
    *
  • Telephone
    *
  • Nature of trade
    *
  • How long has a/c been open
    *
  • Average monthly spending £
    *
  • Contact email
  • Name
  • Address
  • Post code
  • Telephone
  • Nature of trade
  • How long has a/c been open
  • Average monthly spending £
  • Contact email
  • PRIVATE DETAILS (Failure to complete in full will result in the application being rejected)
  • Full name of Director/Partner/Individual applying for account
    *
  • Full private address of Director/Partner/Individual applying for account
    *
  • Post code
    *
  • Private telephone no.
  • Private e-mail:(A confirmation message will be sent on this address.)
    *
  • Property
    OwnedRented
    Terms & Conditions
    • Account balances must be settled by the due date shown on the statement of account posted to you at the end of each month.
    • Accounts NOT settled by the due date, for whatever reason, will be frozen until settlement is recived.
    • Interest may be charged at 2% per month, above the Bank of England base rate, on account balances not settled within the terms of payment set out above, at the discretion of Leyland SDM.
    • In the event of legal/recovery action, all costs will be added to the balance owned. The a/c holder is liable for all outstanding balances, interest and recovery costs.
    • Periodical reviews will be carried out on account activity. Accounts that are dormant for more than 6 months may be discontinued. Accounts wil then only be reopened on reapplication.
    • Failure to comply with our terms and conditions will result in a withdrawal of credit facilities, and any outstanding sums will become payable immediately.
    • Leyland SDM reserve the right to amend credit facility terms and contidions or to withdraw facilities at any time.
    • Customers should note that all delivered/collected/invoiced goods remain the property of Leyland SDM untill payment in full has been made.
    • Any prices shown/quoted are those at time of dispatch/sale.
    I herby apply for credit account with Leyland SDM to be operated in accordance with terms and conditions of sale. I confirm that details given are correct and authorise Leyland SDM to take up bank and trade references to establish my credit worthiness. I agree to settle my account in full by the due date and understand that credit will be withdrawn if my account is not settled by the due date. I agree that in the event of payment not being made by the due date, I will be personaly responisible for all materials booked out in either the name of company or my own personale name, and that I shall pay all monies due on said materials.
    I Agree With The Above. 
  • Additional information