Account Application

Name of Company: Company Address: Tel: Fax: Email: Sales Contact:
500 characters left.Phone: Mobile: Fax: Email: Accounts Contact:
500 characters left.Phone: Mobile: Fax: Email: Company Type: Limited Partnership Sole Trader Company Reg No: Year Established: Credit Required: Up to £2000 £2000 to £5000 £5000 to £10000 £10000 to £20000 £20000 + Payment Method: Cheque BACS Debit Card Trade References:

(Please do not give Jewsons or Travis Perkins)

Reference 1:
Include contact details
500 characters left.Supplier Name: Supplier Contact: Phone: Fax: Email: Reference 2:
Include contact details
500 characters left.Supplier Name: Supplier Contact: Phone: Fax: Email:

DATA PROTECTION NOTICE
Personal Date relating to you will be held securely in confidence and processed for the purpose of carrying out the business such as credit insurance and associated activites. It may be shared with other third party organisations where necessary, within and outside the European Economic Area.

TERMS AND CONDITIONS
Terms and conditions of Tyne Insulation can go here. If the text is to much, we can put a link here instead, so it opens the terms and conditions into a new window. Just send through the terms and conditions, and we can judge how long they are and if they fit in here correctly.

DECLARATION
We request a credit trading account with TYNE INSULATION SUPPLIES LTD and authorise their investigation of our credit status. We acknowledge and agree to their terms and conditions relating to the supply of goods, which will apply to our credit account when confirmed as open.
You need to agree to this declaration in order to submit this form 

Word Verification:

Type the numbers you see in the picture below.

Can't read it? Click here to change the image.