New Account
Application for trade account
Company Details
Legal Company Name
(Required)
Trading Name(s)
Company Number
Company Type
(Required)
Limited Company
Sole Trader
Partnership
Address
(Required)
Address 1
Address 2
Town
County
Post Code
Company Contact
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Trade References
Trade Reference 1
Company, Contact Name, Phone, Email & Address
Trade Reference 2
Company, Contact Name, Phone, Email & Address
Declaration
Confirmation
(Required)
I confirm I have authorisation to sign this account application form.
I confirm that all invoices will be paid within the agreed credit terms (30 days).
I hereby authorise Gatebox Engineering Ltd (Whatlington Garage) to obtain references from the above supplied references.
Select All
Signature
(Required)
Signed By
(Required)
Position
(Required)
