EH Smith Builders Merchants - self-build-application

Apply for a Self Build Account

Benefits include access to Drawdowns, saved delivery addresses and online access to your order history.

*Denotes required field

Personal Details :

First Name*

Surname*

Date of Birth*

Other persons involved in the project ?*

Yes No

Please list below the name and date of birth of all persons involve in the project.

Person 1 :

Person 2 :

Person 3 :

Person 4 :

Person 5 :

Person 6 :

Person 7 :

Person 8 :

Person 9 :

Person 10 :

Current Address :

Address 1*

Address 2

Address 3

Town*

County*

Postcode*

Phone*

Fax

Mobile

Email*

Confirm Email*

Have you live in your current address more than 2 years?

Yes No

Please enter your previous address :

Address 1

Address 2

Address 3

Town

County

Postcode

Project Details :

Materials purpose*

Please enter the new home address :

Address 1

Address 2

Address 3

Town

County

Postcode

Your EH Smith sales contact

Local\Preferred EH Smith Branch*

Estimated project duration*

Financial Details :

How is your project funded ?*

Credit Limit Required*

Please provide the name and address of Bank or Building Society:

Bank Name*

Account Number*

Sort Code*

Address 1*

Address 2*

Town*

County*

Postcode*

Employment Details:

Employed or Self Employed ?*

Occupations

Current Employer(s)

Work Telephone

I/We authorise the aforementioned Bank/ Building Society to disclosure all pertinent information to support the application for credit.*

A credit check will be done on all individuals applying for a self-build account at the point of application and we will conduct periodic checks for as long as you are trading with us. Please tick to confirm you understand and agree to this.*

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.*

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