CREDIT ENQUIRIES
  01924 268 511
  PLEASE NOTE!
  Fields marked with an asterix (*) are required  
  Help Points
  The Account Number field refers to the Killgerm account number of current Killgerm customers.

If you are currently not a Killgerm customer with an existing account number please leave this field blank.		  
  Credit Account Application 1 - 2 - 3 - 4 - 5
  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/*yyyyy)
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: