Please complete all relevant sections of this application and enclose a company letterhead to enable us to process your application quickly.
General Details
Business Name Business Address
Postcode Telephone No Email sales : Email accounts : Contact – Accounts Contact – Sales Amount of Credit
Fax No
Tel: Tel: £
For Limited Companies
Registered No Registered Office VAT Number For Non-Limited Companies (if more than one proprietor please detail on reverse of application)
Proprietor Name Home Address Postcode Telephone No Trade References - please supply details of two suppliers ACTIVE in last 3 months. Please ensure that you complete the telephone details for each supplier
Supplier 1 Address
Supplier 2 Address
Contact Postcode Telephone Email
Contact Postcode Telephone Email
I am authorised to sign on behalf of the above named company
Name (please print) Signature Date Reg Office – O BAG UK, Unit 30 Monkspath Business Park, Shirley, Solihull B90 4NZ Tel. 0845 519 6161 www.obag.uk.com O bag is the trading name of JComm Limited Registered in England & Wales No. 09878439