Account application formStep 1 of 333%Company DetailsRegistered Company Name(Required)Trading AsIf differentTrading/Delivery Address Address Line 1 Address Line 2 City County Postcode Registered Office Address Address Line 1 Address Line 2 City County Postcode TelephoneVAT No.Company Registration No.EORI No.Business Type Sole Trader Partnership Private Limited Company Public Limited CompanyName of proprietor(s) Forename Surname If not a Limited CompanyName of proprietor(s) Forename Surname If not a Limited CompanyContactsAccounts Contact First Last Accounts Email Purchasing Contact First Last Purchasing Email Technical Contact First Last Technical Email Delivery InstructionsOur couriers can provide notifications and updates via email and SMS. Please provide appropriate contact details:Email MobileBank DetailsBank NameAccount/IBAN No.Sort CodeTrading Currency GBP EUR USDTrade ReferencesTwo companies with whom significant business has been done in the past year who may give a trade reference:Company Name 1Credit Limit 1Company Name 2Credit Limit 2Requested Credit Limit (£)DeclarationConsent(Required) I have read and agree to Fox Lux Ltd Terms and Conditions of Sale which take precedence.Name First Last Position
