Pexa

Credit Application

Application for a credit account

Company/applicants name:

Contact name:

Contact job title:

Address:

Postcode:

Your email address:

Telephone number:

VAT Number:

Company registration number:

Registered office address:

Nature of business:

Name(s) of proprietor(s) (if not a limited company)

Address for invoices (please include postcode)

Address for statements (please include postocode)

Please provide 3 trade references in support of this application:

Trade reference 1
Name

Address:

Postcode:

Tel:

Email:

Trade reference 2
Name

Address:

Postcode:

Tel:

Email:

Trade reference 3
Name

Address:

Postcode:

Tel:

Email:

Bank details
Name/Address:

Sort code:

Account number:

Please note that our terms of payment are 'settlement by the end of the month following' and any trading between us is subject to our conditions of sale, full details of which are below and on the copy of this application which you should retain. Signed in acceptance of Pexa’s terms and conditions of sales below, which form part of this agreement.

Customer accepts Pexa's terms and conditions which can be downloaded by clicking here:

Data Protection Consent

I confirm that I have read and understand the Privacy Policy of Pexa Limited which is contained on this website.

I agree to Pexa Ltd and its associated companies named on the website processing personal data relating to or referring to me in accordance with the Privacy Policy and I accept that the personal data will be retained by Pexa Ltd or its associated companies so long as it remains relevant.

To give your consent, tick here: