Credit Application

* Your Name

* Email Address

Position

* Company Name

* Address

* Postcode

* Telephone

Fax

Invoice Address
(if the same as above please tick)

Invoice Company Name

Invoice Address

Invoice Postcode

Invoice Telephone

Invoice Fax

* Registered Office

Company Registration No

VAT Registration No.

* Company Type

Home addresses of principle (s) if company is either a sole trader or partnership

* I agree to the
Terms and Conditions

* Indicates Required Fields

By submitting the credit application you agree to the companies terms and conditions. Our terms of trading are available upon request should you require a copy then please e-mail sales@indylhr.com or see link below.

Data Protection Act 1988
Information held by the company on computer will be used only for the purposes of business as registered under the Act. Customers may request a written copy of details held about them by the Company by them on computer; a fee is payable.

General Information
Indy / Independent Wholesale Express may use credit reference agencies and other authorised agents for credit assessment, fraud prevention, processing of transactions, debt recovery and general business purposes. Information may be registered with credit reference agencies and used by other companies in assessing applications from yourselves and for occasional debt tracing and fraud prevention. A record of any search will be kept