Credit Account Application Form

Application

Nature of buisness

Buisness Status

Sole TraderPartnershipPlc

Limited Co

Person/s authorised to use account

Invoicing details (if different from above)

Do you have order numbers? If yes, are they in a standard format? If so could you please supply an example.

per Contract
YesNo

per Order
YesNo

Email address or fax number to issue statements to:

Phoenix Hire and Sales Account Originator

Name

Home Depot

Background information

Date

Estimated amount of credit required

I/We (The undersigned) understand and give consent to Phoenix Hire and Sales Ltd. in conducting a credit search, using a Credit Reference Agency.

I/We understand and give consent to details of the performance of any credit facility granted being submitted to credit reference agencies and shared with other companies who may be considering offering credit facilities.

I/We understand that any application with more than one party to the agreement will result in a financial connection between those individuals being established at the Credit Reference Agency.

I/We understand that the payment terms for Phoenix Hire and Sales Ltd are 30 days from invoice date unless otherwise agreed in writing.

I/We accept that credit facilities may be withdrawn at any time without notice should the account remain unpaid beyond the due date or if the amount of credit taken exceeds the agreed credit amount.

We confirm that the above information is correct and that we have read and agree to be bound by the terms and conditions issued to us.

I/We also consent to receive marketing material including monthly promotions and offers via email.

Signature

Date

Phoenix Hire and Sales Ltd, Phoenix House, 2 Ty-Coch Park, Ty-Coch Way, Cwmbran, NP44 7HB

Tel: (01633) 482007 Fax: (01633) 863894