EH Smith Builders Merchants - credit-application

Apply for a Credit Account

Benefits include your own Credit Limit, Discounted Sales and online access to your order history.

*Denotes required field

Customer Details :

First Name*

Surname*

Company Name*

Trading Name

Phone*

Fax

Mobile

Email*

Confirm Email*

Main Buyer Contact Details:

Buyer Details same as Customer Details ?

First Name*

Surname*

Phone*

Email*

Accounting Contact Details:

Accounting Contact Details same as Customer Details ?

First Name*

Surname*

Phone*

Email*

Please Tick if you would like to receive the following by Email.

Statements Invoices

Trading Address :

Address 1*

Address 2

Address 3

Town*

County*

Postcode*

Registered Address :

Is Registered Address different to Trading Address ?

Address 1*

Address 2

Address 3

Town*

County*

Postcode*

Business Details :

Trading As*

Date of Birth*

Company registration No*

Established Since*

Year Month

A credit check will be done on all individuals trading as sole traders and partnerships at the point of application. Please tick to confirm you understand and agree to this.*

Is your home address different to your trading address?*

Home Address :

Address 1*

Address 2

Address 3

Town*

County*

Postcode*

Phone*

Please list below the name, full address and date of birth of all Proprietors / Partners. Please list below the full address and date of birth of all directors.

Proprietors / Partners 1 :

Proprietors / Partners 2 :

Proprietors / Partners 3 :

Proprietors / Partners 4 :

Proprietors / Partners 5 :

Proprietors / Partners 6 :

Proprietors / Partners 7 :

Proprietors / Partners 8 :

Proprietors / Partners 9 :

Proprietors / Partners 10 :

Annual estimated spend (£)*

Credit Limit Required*

Your EH Smith sales contact

Local\Preferred EH Smith Branch*

Parent Company Name

Business activity description

Trade Reference 1 :

Trade Reference Name

Trade Reference Postcode

Trade Reference Telephone

Trade Reference 2 :

Trade Reference Name

Trade Reference Postcode

Trade Reference Telephone

Data Protection: We will conduct periodic credit checks on individuals trading with us as sole traders and partnerships as well as individuals having signed a Personal Guarantee. We will also routinely access information relating to limited entities from credit agencies and this information in conjunction with the trade performance of your limited company with us may be shared with our credit partners for risk assessment purposes.*

I give consent to receive marketing material from EH Smith.

I confirm I have read and agree to abide by your standard Terms and Conditions of business. I'm authorised to sign by and on behalf of the applicant.*

Name of the applicant*

Position in the company*

Captcha*