Online Account Application Form

Online Account Application:

Please ensure that all relevant sections are completed to avoid any delays in processing your application. Fields in red are compulsory

Limited Companies should complete Parts A, B, C, E, F & G plus the Declaration

Other Companies should complete Parts A, B, D, E, F & G plus the Declaration


Part A - Your Details:

Trading Name
Previous Trading Name (if any)
Invoice Address

Town
County
Post Code
Accounts Contact
Accounts Telephone
Accounts Fax
Accounts Email
Accounts Job Title
V.A.T. Number
Credit Limit Requested (£)
Nature of Business
Year Company Established?
Do you wish to pay via BACS?
Do you offer a mail order service?
How did you hear about Gilberts?

Part B - Your Bank Details:

Bank Name
Bank Branch
Bank Address

Bank Town
Bank County
Bank Post Code
Bank Telephone
Bank Fax
Bank Sort Code
Bank Account Name
Bank Account Number

Part C - Limited Companies Only:

Registered Office
Registered Number
Holding Company Details (if any)
Full Names of Directors
Full Name of Company Secretary

Part D - Other Companies Only:

Full Name & Private Address of Proprietor or Partner (1)
Full Name & Private Address of Proprietor or Partner (2)
Full Name & Private Address of Proprietor or Partner (3)

Part E - Additional Company Information:

Main Company Email Address
Website
Is a separate invoice required for each order?
Do you accept Balance Orders?
Buyer's Name
Buyer's Telephone
Buyer's Email
Buyer's Mobile
Buyer's Job Title
Sales Contact Name
Sales Contact Telephone
Sales Contact Email
Sales Contact Mobile
Sales Contact Job Title
Other Contact Name
Other Contact Telephone
Other Contact Email
Other Contact Mobile
Other Contact Job Title
Trade Association Membership
Special Requirements (delivery address information should be entered in Part G)

Part F - Trade References:

Trade Reference 1
Address

Town
County
Post Code
Contact
Telephone
Fax

Trade Reference 2
Address

Town
County
Post Code
Contact
Telephone
Fax

Part G - Delivery Addresses:
You only need to complete this section if your Delivery Address differs from the Invoice Address entered above (if you need to add more than 3 delivery addresses, please email us with the details)

Delivery Address 1 Address


Delivery 1 Town
Delivery 1 County
Delivery 1 Postcode
Delivery 1 Telephone
Delivery 1 Contact

Delivery Address 2 Address


Delivery 2 Town
Delivery 2 County
Delivery 2 Postcode
Delivery 2 Telephone
Delivery 2 Contact

Delivery Address 3 Address


Delivery 3 Town
Delivery 3 County
Delivery 3 Postcode
Delivery 3 Telephone
Delivery 3 Contact

Part G - Declaration:

I/we hereby request you to open a Credit Account and by signing this agree to the following: 1) to accept the Terms and Conditions of Sale of Gilberts Food Equipment Limited, a copy of which we have read and understood 2) to pay all undisputed amounts by the 20th of the Month following the date of invoice, unless otherwise agreed in writing by Gilberts Food Equipment Limited 3) that full title in goods remains with Gilberts Food Equipment Limited until all due monies are paid 4) I/we also confirm that the above information is correct and that neither we nor the company have been refused credit for whatever reason

Please enter "I AGREE" to indicate that you have read the Declaration above and our Terms & Conditions

Name of Person completing this form
Position
Date


If you have any other comments to make, please do so here: