Killgerm Chemicals Ltd
Email Killgerm Sales
sales@killgerm.com
Phone Killgerm Chemicals
01924 268400
 

Credit Account Application


There are simple and quick ways of purchasing. These are paying by Credit Card, Cheque or a Credit Account with Killgerm. If you would like to have a credit account please complete the form below.
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Step 1 - Company Details
Account Number:  
*Trading Name:  
Legal Name:  
    If a limited company - the name of your company, if not, then the name of the business if different from the Trading Name.
VAT Registered:   Yes  No
Number:
 
*Date Started Trading:   / / (dd/*mm/*yyyy)
Limited Company:   Yes   No
Number:  
    If you are not a limited company please supply the additional information in the following blue section. If you are a limited company go straight to Owner Details and leave the blue section empty.
Non Limited Company Information Only
Business Name:  
Address:  
   
Town/City:  
County:  
Postcode:  
Country:  
Telephone Number:  
Time in Business:   Years Months
Time Trading at Address:   Years Months
    If less than 2 years please provide us with the Post Code of your previous trading address below.
   
Trading from Home Address:   Yes   No
Own Business Premises:   Yes   No
Proprietors Names:  
   
Owner Details
*Name of Owner:  
*Address of Owner:  
   
*Town/City:  
*County:  
Postcode:  
*Country:  
Invoice This Address:   Yes  No
If No, State Invoice Address:  
 

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