Credit Account Application Form

All applications received will be assessed using our credit reference system. A business account will allow your company upto 60 days credit. Complete this form if you wish to register for an online/store account with Bolt World Fasteners, we will assess your application if you meet our credit account criteria. All fields are required and a landline contact number MUST be provided. WE AIM TO RESPOND TO YOUR APPLICATION WITHIN 5 WORKING DAYS.

Chief Buyer Name *

First

Last

Position in the Company *

Phone *

Email *

Company / Business Name *

Business Type *

No. of years trading *

Website / URL

Avg. Monthly Spend *

Nature of business *

Do you wish to use the website for online ordering? *

Is billing and shipping address same? *

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Bank Name *

Bank Soctcode *

Bank Account No *

Trade Reference 1 *

Phone *

Email *

Trade Reference 1 Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Trade Reference 2 *

Phone *

Email *

Trade Reference 2 Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Is chief buyer above also the accounts contact? *

I /we have agreed the conditions of sale and agree that they shall apply to all contract between us. In the event that Bolt World may need to seek a bank reference I/we consent to the aforementioned bank providing a reference, and also authorise a credit search, if requested. I /we agreed to strict 30-days Nett payment terms. (means that the payment is due 30 days after the end of the month in which you receive the invoice) *

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Credit Account Application Form

Credit Account Application Form