Credit Application

Wheelco Ltd - Credit Account Application Form

Please fill out the form to the best of your ability. If a field does not apply please just put "not applicable"

Wheelco Terms And Conditions Of Trade - PDF opens in a new tab.

Organisation Type:

Partnership Sole Trader Limited Company

Full Name: Trading As: Postal Address: Delivery Address:

Phone: Fax: Email: Website:

Contacts

Purchasing

Purchasing Name: Purchasing Direct Dial Purchasing Email:

Accounts

Accounts Name: Accounts Direct Dial Accounts Email:

Do you require an order number on every invoice?

Yes No

Would you prefer your invoices and statements emailed?

Yes No

If Yes, what is the preferred email address:

Trade References

Reference Name 1: Reference Phone 1:

Reference Name 3: Reference Phone 3:

Reference Name 2: Reference Phone 2:

I/We certify that the above information is correct and if my/our application for a credit account is approved, I/we agree to pay the full amount owing for all purchases by the 20th of the month following the date of invoice. I/We understand that goods are purchased subject to the condition that ownership does not pass to me/us until they have been paid for. I/We agree to the terms and conditions set out by Wheelco Ltd and attached to this application.

Signed (Full Name): Date: Position: I confirm that the above signing information is correct and represents my digital signature.