Trade Form - Ribble Farm Trade

Company Name*

Trading As

Trading Name of Company (If applicable)

Registered Office Address*

Street Address Address Line 2 City County Postal Code Country

Phone*

VAT Number

Fax Number

Account Contact Name*

First Last

Account Contact - Position

Account Contact Telephone Number*

Account Contact Email*

Password

Enter Password Confirm Password

Strength indicator

Trading / Delivery Addresss*

Street Address Address Line 2 City County Postal Code Country

Trading / Delivery Contact Name*

First Last

Trading / Delivery Contact Number*

Trading / Delivery Fax Number

Trading / Delivery Contact Email*

Type of Business*

Sole Trader

Partnership

LLP

Private LTD Company (Ltd Co)

Public Ltd Company (Plc)

Other

Credit Limit Requested*

Company Registration No*

Account Type

Credit Card Payment

Weekly

Monthly

BACs Payment Refernce

Number of Directors / Partners / Directors / Trustees

Please enter a number from 1 to 5.

Director (1)

Director Name*

First Last

Director Address*

Street Address Address Line 2 City County Postal Code Country

Director (2)

Director Name

First Last

Director Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Director (3)

Director Name

First Last

Director Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Reference - Company Name (1)*

Reference - Contact Name (1)*

Reference - Contact Position (1)*

Reference - Contact Address (1)*

Street Address Address Line 2 City Post Code

Reference - Company Name (1)*

Reference - Contact Name (1)*

Reference - Contact Position (1)*

Reference - Contact Address (1)*

Street Address Address Line 2 City Post Code

ach signatory to this application agrees to the Terms and Conditions of Sale which are enclosed with this application form, and each signatory also agrees, jointly and severally, to personally guarantee the performance of the contract by the organisation on whose behalf the signature is given, including any financial obligations. In the event of failure or default of this contract, Ribble Farm Fare Ltd has the right to proceed against the signatory personally. I/We agree that Ribble Farm Fare Ltd shall use the information in this application for account/credit assessment including the taking up of a bank reference or any other credit check to facilitate the opening of the account. I/We agree that a credit check with a credit agency may form part of this process and any ongoing checks undertaken whilst the account is maintained. I/We understand that the credit reference agency will record any checks made. I/We further agree that such credit checks may relate to any director of the company where this application is made on behalf of a limited company.

Director (1)

Director Name*

Signature*

Director (2)

Director Name*

Signature*

Director (3)

Director Name*

Signature*