Details

Company Title Accounts Address Post Code Full Name of Person to Contact Telephone number Fax number E-mail: Registered Office Nature of Business:
(Limited Company, Partnership, Sole Trader, Local Authority) Company Registration Number: Date Established: Credit Limit Requested: £

Please tick one box which best describes your business:

Windows Manufacturer Windows Installer Builder Joiner Roofer Fascia Installer Stockist Plumber Caravan/Cabin Shop Fitter Sign-maker Council Other (Please specify)

Names of all directors or partners (Addresses must be included):

1. 2. 3. 4. 5. 6. Banker’s Name Account Number Sort Code Address

Two trade references to the value of credit required:

I hereby authorise LIV Supplies Limited to undertake all enquiries necessary to validate this Credit Request.
On my acceptance of an account facility, I agree to be bound by the Company’s Standard Terms and Conditions, as provided overleaf, which I have read and understood.