Apply for a Pay As You Go account

About you and your business

Company name *

Trading name (if different from above)

Date Established *

Address 1 *

Address 2

Address 3

Address 4

City *

County

Postcode *

Phone *

Email *

Are you a... *

Limited Company

Sole Trader

Partnership

Homeowner

Registered name *

Registration no. *

Address of Registered Office *

Do you have any other accounts with us? If yes please include name of account or account number *

No

Yes

A/C name/number

Your contact information

Contact 1

Same as above

Contact 1 Name *

Home Telephone

Date of birth

Mobile *

Email *

Contact 2

Same as above

Contact 2 Name *

Home Telephone

Date of birth

Mobile *

Email *

Your needs

Please complete to help us understand your business requirements

What is your expected spend with us per month?

Number of employees

Does your business require order numbers or job references? If yes please specify *

No

Yes

Order number

Job ref

How you heard of us

Business category

Trading terms and conditions

By submittimg this application form you accept our trading terms and conditions which can be found here.

If you would like to receive e-marketing updates, please indicate your preference:

Events

Exclusive discounts

Product information

We will never share your details with any other company or third parties.

Your account cannot be opened unless:

You have attached to this application a recent utility bill as proof of trading address (gas, electricity, landline telephone bill etc)
OR

A member of our staff has verified your address (e.g. against a driving licence)

*

Maximum file size: 268.44MB

Staff name *

If not applicable type N/A

*

I acknowledge the above information and I agree to be bound by these terms, and recognise that submission of this form constitutes a signature

Name *

Job Title *

Date *

About you and your business

Your contact information

Your needs

How you heard of us

Business category

Trading terms and conditions