GENERAL CUSTOMER INFORMATION
IF YOU ARE PART OF A GROUP OF COMPANIES, A SUBSIDIARY OR ASSOCIATED WITH ANY OTHER COMPANY, PLEASE GIVE DETAILS
IF YOU ALREADY HAVE, OR HAVE PREVIOUSLY HELD, A TRADING ACCOUNT WITH ANY OTHER BRANCH OF EDMUNDSON ELECTRICAL LTD, ELECTRIC CENTER OR LOCKWELL ELECTRICAL, PLEASE GIVE DETAILS
HOW MUCH CREDIT DO YOU REQUIRE? { (£) PER MONTH }
ADDRESS FROM WHICH THE ACCOUNT WILL BE PAID (AP) (If different from Business Address above)
ADDRESS TO WHICH INVOICES SHOULD BE SENT (If different from Business Address above)
POST CODE (AP)
POST CODE (INVOICE BUSINESS POSTCODE)
PHONE No. (AP)
FAX No. (AP)
MOBILE No. (AP)
EMAIL ADDRESS (AP)
NAME OF CONTACT (AP)
PLEASE GIVE NAMES AND ADDRESSES OF TWO TRADE REFERENCES
NAME (1)
NAME (2)
ADDRESS (1)
ADDRESS (2)
POSTCODE (1)
POSTCODE (2)
DIRECTOR DETAILS AND AUTHORISATION
NAMES AND HOME ADDRESSES OF DIRECTORS OR PARTNERS
(Please state if none. All directors/partners listed must sign. If at present address for less than two years, also provide previous address).
A
B
C
POSTCODE (A)
POSTCODE (B)
POSTCODE (C)
DATE OF BIRTH (A)
DATE OF BIRTH (B)
DATE OF BIRTH (C)
SIGNATURE (A)
SIGNATURE (B)
SIGNATURE (C)
I/We apply to open a credit account with Edmundson Electrical Ltd.
I/We understand that your credit terms are that payment is due promptly at the end of the month following the date of invoice and that, if granted credit, I/We agree to pay in accordance with these terms. I/We also acknowledge and accept the Terms of Business detailed on Page 3 of this application.
Edmundson Electrical Ltd shall use the information in this application for credit assessment including the taking up of a bank reference or any other credit check to facilitate the opening of the credit account. The following should be noted:
A credit check with a credit agency, including ID verification, may form part of this process and any ongoing checks undertaken whilst the credit account is maintained.
The credit reference agency will record any checks made.
Such credit checks may relate to any director of the company where this application is made on behalf of a limited company.
PLEASE PRINT YOUR NAME
DATE OF BIRTH
PLEASE STATE YOUR POSITION IN THE COMPANY
PLEASE SIGN HERE
DATE
I/We, as applicant, declare that the information I/We have provided on this form is correct and complete and I/We consent to its collection, retention and utilisation by you as provided for in the Information Notice below.
INFORMATION NOTICE
By signing this form, you acknowledge that we can use the information provided in a number of ways, for example:
To provide quotations, sales orders and sales invoices.
Monitoring business.
Administering the credit account, including recording of conversations when taking payment and sending statements.
We will collect information which is legally required but we will not collect any personal data from you that we do not need. We have Data Protection procedures in place to oversee the effective and secure processing of your personal data. All the personal data we collect, whether this is retained in paper files or on computer systems, is processed in the EU. More information on this framework can be found on our website.
If you require access to information that the Company holds on you, you must make a formal Subject Access Request to the Company. There is no charge* for the provision of this information. The Company may withhold certain information which is exempt from the right of Subject Access. If at any point you believe the information we process on you is incorrect you can request to see this information and have it corrected or deleted. If you wish to raise a complaint on how we have handled your personal data, you can contact us to have the matter investigated, by sending an email to sar@eel.co.uk.
If you are not satisfied with our response or believe we are not processing your personal data in accordance with the law you can complain to the Information Commissioner's Office.
The law allows a charge to be applied when the request is unfounded, excessive or if further copies of the information are required. The charge will be based on the administrative cost of the information provided.
OFFICE USE ONLY
BRANCH MANAGER
DATE
COMMENTS
Please read our
before submitting the form.
BANK DETAILS
To:
Bank Name:
Bank Address:
SORTCODE
ACCOUNT NUMBER
CUSTOMER AUTHORISATION
I/We (Customer Name) :
Of (Customer Address) :
hereby authorise you to provide a reference on me/us in response to any requests you may receive from Edmundson Electrical Ltd at any of its branches or office, subject to payment of any related fee by the originator, without further reference to me/us.
This authority shall remain in force unless and until cancelled by me/us in writing.
Signed:
Date:
For and on behalf of:
(this form should be signed by a Director/Partner/Owner or other such properly authorised person)
COMPANY AUTHORISATION
We confirm that this form of authority is in respect of an existing or prospective continuing trading or business relationship between us and your above-named customer. We also confirm that there is or will be a continuing need for us to make status enquiries about the above named customer.
Our bankers: National Westminster Bank PLC, 55 King Street, Manchester, M60 2DB can confirm the above.
For ease of reference, we shall submit a photocopy of this form as authority with each subsequent status enquiry we make.
Signed:
Date:
For and on behalf of Edmundson Electrical Ltd.