Trade Account Application

TRADE ACCOUNT APPLICATION

Registration No. 1017850,7102317(Pencom)

Laltex House, Leigh Commerce Park, Greenfold Way,

Leigh, Lancs., England, U.K., WN7 3XH.

Telephone: 01942 68 7025. Fax: 01942 68 7070

E-mail: sales@laltex.com. Internet: www.laltex.com

PLEASE INDICATE WHICH COMPANY YOU ARE INTERESTED IN TRADING WITH

	Laltex Promo (KS Brands Limited T/A Laltex Promo)	The Printed Pen Company Limited T/A Pencom	Bags HQ (KS Brands Limited T/A Bags HQ)	Source IT (KS Brands Limited T/A Source IT)	Fast Fit Promo (KS Brands Limited T/A Fast Fit Promo)

THIS APPLICATION CAN BE USED FOR ALL COMPANIES INDICATED WITHIN OUR TERMS & CONDITIONS

COMPANY DETAILS
Company Name:
Address Line 1:
Address Line 2:
Town:
County/State:
Postcode:
Country:
Telephone:
Fax:
Email:
Website:
Company Reg No:
Vat Reg No:
Date of Incorporation:
Date Trading Commenced:
Requested Credit Limit(£):

INVOICE ADDRESS _{(IF DIFFERENT)}
Address Line 1:
Address Line 2:
Address Line 3:
Town:
County/State:
Postcode:
Country:
Telephone:

DELIVERY ADDRESS _{(IF DIFFERENT)}
Address Line 1:
Address Line 2:
Address Line 3:
Town:
County/State:
Postcode:
Country:
Telephone:

BUSINESS TYPE
Select Business Type:
If Other Please Specify

BUSINESS STATUS
Select Business Status:
If Other Please Specify

PLEASE STATE ALL NAMES IN FULL WITH NO ABBREVIATIONS OR ALIASES

Name(s) of Director(s):

Buying Contact:
Buying Contact No:
Buying Contact Email:
Booking In Contact:
Booking In Contact No:
Booking In Contact Email:

Accounts Contact:
Accounts Contact No:
Accounts Contact Email:

Have any of the Directors/Proprietors of the Company ever been declared bankrupt?

BANK REFERENCE

Bank Name:

Account No:

Address:

Postcode:

Sort Code:

- -

Consent to be signed by the customer who is subject of the enquiry, in accordance with the signing mandate held by the bank.	I/We
To provide status enquiry on me/us. I/We understand that a copy of the bank's reply can be sent to me/us upon request.

TRADE REFRENCE 1
Company:
Address Line 1:
Address Line 2:
Address Line 3:
Telephone:
Fax:
Email:

TRADE REFRENCE 2
Company:
Address Line 1:
Address Line 2:
Address Line 3:
Telephone:
Fax:
Email:

TERMS & CONDITIONS

I confirm that I have read and accepted the terms and conditions of sale detailed above. I understand that all orders will be placed on those terms (or any terms later adopted by you and notified to me in writing).

I confirm that the information given in this application for a credit facility is in all respects true and accurate.

GDPR EU REGULATION 2016/679 GENERAL DATA PROTECTION REGULATION

For complete details of the Company’s collection, processing, storage, and retention of personal data including, but not limited to, the purpose(s) for which personal data is used, the legal basis or bases for using it, details of his/her rights and how to exercise them, and personal data sharing (where applicable), please refer to the Company’s Privacy Policy

“Data Protection Legislation” means

1) unless and until GDPR is no longer directly applicable in the UK, GDPR and any national implementing laws, regulations, and secondary legislation (as amended from time to time), in the UK and subsequently.

2) any legislation which succeeds GDPR, and “GDPR” means EU Regulation 2016/679 General Data Protection Regulation.

I agree that you may contact me for marketing purposes by:

Phone

Post

AUTHORISATION

Name of the Applicant:

Position:

Date: Today