account application

Account Application Form

Please fill in the below fields to complete the account application form.

Registered company name *

Trading address *

Postcode *

Is the invoicing address the same as the above? *

Invoicing address *

Postcode *

Type of business *

Please specify 'type of business (other)' *

Do you have a website? *

Your website URL *

How long has the company been established (years)? *

Do you have a Company Registration Number? *

Company Registration Number *

Is your company VAT registered? *

VAT Registration Number *

Does your company have an EORI Number? *

EORI Number *

Nature of business *

Payment Method *

Currency *

Amount of Credit Required *

Is the Company a Member of a Buying Group? *

Name of Buying Group *

Membership Reference *

Would you like a website ordering portal account setting up? *

If yes, please provide the name and job title of your main admin user. Please note: This person is able to create other users in your company.

Full Name *

Position *

Email *

Telephone *

Purchasing Contact

Purchasing contact full name *

Email *

Telephone (Landline) *

Mobile

Address *

Postcode *

Accounts Contact

Accounts contact full name *

Email *

Telephone (Landline) *

Mobile

Address *

Postcode *

Sales Contact

Sales contact full name *

Email *

Telephone (Landline) *

Mobile

Address *

Postcode *

Marketing Contact

Marketing contact full name *

Email *

Telephone (Landline) *

Mobile

Address *

Postcode *

Do you consent to our marketing, new catalogues, emails and offers? *

Our contractual relationship with you and all goods carried by us for you are subject to our Standard Terms and Conditions.

Disclaimer: I/We request a Credit Facility with Performance Brands Ltd. I/We have received, read & understood the Terms of Trade and agree that all transactions between us will be governed by those Terms. Specifically, I/We agree to pay all Invoices rendered correctly by Performance Brands Ltd within the stated period. I/We give my/our consent to a credit search being made on me/us as owner/partner or director of this organisation both now & at any future date. I/We understand this search will be recorded by the agency & may be disclosed to subsequent enquirers.

Who should sign?
Limited company: Director, Company Secretary or authorised signatory.
Partnership: One Partner.
Sole Trader: The Proprietor only.

Signature *

Full Name *

Position *

Date *

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account application