Northamber plc - Trade Account Request

Status of the Business

Limited Company

Partnership

Sole Trader

Other

Business Name
(Full Registered Name if a Limited Company)

Trading Name (if different)

Country

Postcode

Enter your address manually

Telephone Number

Web Address

Email Address for Invoices

For verification purposes we also require

Gas bill

Electricity bill

Landline telephone bill

Please upload the relevant document selected above

Email Address of accounts contact

Company Registered Number
Limited Companies only

Number of staff employed

VAT Registration no.

Outline the nature of your business

Integrator

Reseller

Consultancy

Other

If other, please describe

For partnerships, Sole Traders, and Other Businesses, list all Partners/Owners

Is your home

Owned

Rented

Other

Previously traded with or applied for a trade account with Northamber PLC or its associated companies?

Yes

No

Been the subject of a Bankruptcy Order, Liquidation or arrangement made with Creditors?

Yes

No

Bank Name

Account Number

Sort Code

Country

Postcode

Enter your address manually

Type

Cash Account

Credit Account

Credit Required (£)

Company Name

Postcode

Enter your address manually

Telephone Number

Payment Terms

Credit / Debit Card

PIA Payment in Advance

NET 30 (paymenmt due 30 days after invoice date)

NET 60 (paymenmt due 60 days after invoice date)

EOM (payment due at the end of the month in which the invoice was sent)

EOMF (payment due at the end of the following month in which the invoice was sent)

Company Name

Postcode

Enter your address manually

Telephone Number

Terms of Trade (Cash/Credit)

Tick to accept Sales Terms & Conditions

Tick to accept Web Store Sales Terms & Conditions