Credit application form - Sanderson Transport

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Credit application form

Company Name
Type of business
- PLC
- LTD
- LLP
- Sole Trader
Nature of business
Address & contact details
Is your trading address different from you business address?*
- Yes
- No
- Registered Address
  Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
- Registered telephone
- Trading Address
  Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
- Trading telephone
VAT Number
Company registration number
Years of trading
EORI number
Website
Monthly credit required (£)
Primary Contact*
Prefix First Last
Job title
Mobile number*
Landline
Email address
Is your despatch contact different from your primary contact?*
- Yes
- No
Despatch contact*
Prefix First Last
Job title
Mobile number*
Landline
Email address
Accounts contact*
First Last
Job title
Landline
Email address
Invoicing & paperwork
Do you need us to use your own 'customer' generated delivery/collection paperwork?
- Yes
- No
*Please note that this may incur additional cost.
Pls confirm email address for invoices
Pls confirm email address for statements
All proof of deliveries are available via our web portal
Bank & payment details
- Bank name
- Account number
- Sort code
- Address
  Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Trade references
Stephen Sanderson Transport Ltd reserve the right to contact Trade References
- Company name*
- Address*
  Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
- Contact name*
  First Last
- Job title*
- Telephone*
- Email*
- Monthly spend (£)*
- Length of trading*
- Company name*
- Address*
  Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
- Contact name*
  First Last
- Job title*
- Telephone*
- Email*
- Monthly spend (£)*
- Length of trading*
Terms of business
Certification of accuracy*
I/we certify the accuracy of the statements given and authorise you to make any enquiries which you may consider necessary for confirmation of these statements and for the credit assessment.
Agreement of terms*
I/we agree to payment terms of 30 days from month end.
Notice of insurance cover transport*
I/we note that all goods are moved in accordance with the RHA conditions of carriage 2009. liability is £1300 per tonne (View a copy here)
Notice of insurance cover warehouse*
I/we agree that all goods are stored in accordance with the UKWA conditions of storage 2006. CMR applies where appropriate. (View a copy here)
Are there any other insurance requirements?
- Yes
- No
Please give details of other insurance requirements*
Name*
First Last
Position held
Signature*
Name
This field is for validation purposes and should be left unchanged.

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