Request Trade Account

Please complete the form below. All fields in red are mandatory.

Company Details

Full Company Title

Company Type

Company Registration No.

Directors/Proprietors

Add

VAT Registration Number

Number of Years Trading

Number of Employees

Nature of Business

Delivery Address

Street Address

City

County

Postcode

Country

Please tick if your invoice address is different to your delivery address.

Accounts Department

Telephone

Fax

Contact Name

Purchasing Department

Telephone

Fax

Contact Name

Trade References

Please provide two trade references - do not use banks, direct debit payment suppliers.

Trade Reference No. 1

Company Name

Contact Person

Telephone

Fax

Trade Reference No. 2

Company Name

Contact Person

Telephone

Fax

Bankers

Bank Name

Street Address

City

County

Postcode

Country

Agreement

Any figures will be subject to review from our Accounts Team.

Maximum Credit Required per Month

Full Name

Position

Date

I agree to Northgate Lighting's Terms & Conditions

Request Trade Account

Company Details

Delivery Address

Invoice Address

Accounts Department

Purchasing Department

Trade References

Bankers

Agreement