Name Of Business (Required)
Registered Office Address (Required)
Employer Identification No. (Required)
Contact Details
Sales Contact Name (Required)
Sales Contact Email (Required)
Sales Contact Phone Number (Required)
Accounts Contact Name (Required)
Accounts Contact Email (Required)
Accounts Contact Phone Number (Required)
Full Delivery Address (If different from registered)
Delivery Contact Email
Delivery Contact Phone Number
Company Information
Type Of Business (Required)
In Business Since (Required)
Legal Form For Which Business Operates (Required) ---Limited Ltd. Co.PartnershipCorporation
If Partnership, Please provide name(s) of individual owner(s) AND home Address(es)
Credit limit and/or credit terms requested? (Required) If yes, please supply a bank and two trade references below. If no, please proceed to the end. YesNo
Amount of Credit Requested
Bank Reference
Institution Name
Sort Code
Account Number
Address
Please Provide Two Trade References
1.
Company Name
Contact Name
Phone Number
Account Opened
Credit Limit
Credit Balance
2.
I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.
Goods will be supplied subject to our standard conditions of sale, a copy of which is available for inspection at our head office or upon request. Registered Office; 2711 Centerville Road, Suite 400, Wilmington, DE 19808. TruffleHunter Inc is a 100% owned subsidiary pf TruffleHunter Ltd, a UK company based atC2 – C5 Lakeside Business Park, South Cerney, Gloucestershire, GL7 5XL. UK Company Reg; 06366331, VAT Reg 980 8185 85
Please check here if you accept the above terms
Completed By (Required)
Position In Company (Required)
Please upload any relevant Files
