Company / Applicant Details

Registered Company Name *

Trading Name (if different)

Registered Office Address *

Trading / Delivery Address (if different)

Company Registration No.

Date Established

VAT Registration No.

Website

Main Telephone No. *

General Email *

Nature of Business / Trade *

Business Structure *

Estimated Annual Turnover *

Up to £25k £25k – £100k £100k – £250k £250k +

02

Contact Details

Accounts Payable Contact *

Position

Accounts Telephone

Accounts Email *

Purchasing / Buyer Contact

Position

Buyer Telephone

Buyer Email

Invoices to be Sent to (email) *

Purchase Order Number Required on Invoices?

Yes No

03

Credit Facility Requested

Credit Limit Requested (£)

Estimated Monthly Spend (£)

Preferred Payment Method

BACS Debit/Credit Card Direct Debit

Standard account terms: payment due 30 days from the end of the month of invoice, unless otherwise agreed in writing. Commercial card payments incur a 2% surcharge.

04

Applicant's Bank Details

Bank Name

Bank Address

Account Name

Account Number

Sort Code

Years with Bank

05

Trade References

Please provide details of two suppliers you currently hold a credit account with.

Reference 1

Company Name

Contact Name

Telephone

Email

Address

Reference 2

Company Name

Contact Name

Telephone

Email

Address

06

Directors / Partners / Proprietor

For Limited Companies, list all Directors. For Partnerships, list all Partners. For Sole Traders, complete one line only.

Director / Partner 1

Full Name *

Position

Home Address

Date of Birth

% Shareholding

Director / Partner 2

Full Name

Position

Home Address

Date of Birth

% Shareholding

07

Personal Guarantee

Switch on only if you have been asked by Olympus Electrical Wholesale Ltd to provide a personal guarantee alongside this application.

I/We, the undersigned, being a Director/Partner/Proprietor of the applicant business, personally guarantee payment of all sums due to Olympus Electrical Wholesale Ltd by the applicant, should the business fail to meet its payment obligations.

Guarantor Full Name

Date

Guarantor Signature

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08

Declaration & Electronic Signature

Key credit account terms (tap to collapse)

Payment terms are strictly 30 days from the end of the month of invoice, unless otherwise agreed in writing.
Olympus Electrical Wholesale Ltd may set, vary or withdraw credit facilities at its discretion.
Interest and compensation may be charged on overdue balances under the Late Payment of Commercial Debts (Interest) Act 1998.
Title to goods remains with Olympus Electrical Wholesale Ltd until paid for in full.
Credit reference and identity checks may be carried out, and information shared with credit reference and fraud prevention agencies.
Specially ordered or adapted goods — including cut cable and cut LED strip — are non-returnable.
Commercial card payments incur a 2% surcharge.

This is a summary only. The full Terms and Conditions of Sale are available on request and apply to every order.

Information provided on this form is used by Olympus Electrical Wholesale Ltd to assess this application, manage the account, and comply with legal obligations, in accordance with the UK GDPR and the Data Protection Act 2018.

I confirm that the information given on this form is true and accurate to the best of my knowledge, and I agree to Olympus Electrical Wholesale Ltd's Terms and Conditions of Sale, including the standard payment terms of 30 days from the end of the month of invoice. *

Print Name *

Position *

Signature *

Sign here with mouse, stylus or finger

Date