EV Credit application form

EV Credit Application Form

Business type

Business name

Sole Trader

Partnership

PLC

LTD

Business registered address

Address line 1

Address line 2

City

County

Postcode

Trading address (Please only fill this out if the address is different from the registered address)

Address line 1

Address Line 2

City

County

Postcode

Business details

Business sector

Company registration number

Years trading

VAT number

Director's details

Full name

Mobile

Contact 1

Full Name

Job title

Telephone

Account contact

Full Name

Email for invoicing

Telephone

Security - Please set a password and security question for your account

Account password

Town of birth

Bank details

Name of bank

Account name

Bank address line 1

Account number

Bank address line 2

Sort code

Embossing details - Embossing details maximum of 28 characters

Embossing details

To process your application the following must be completed:

By signing below, you agree that we have your consent and the consent of any other employee, or director whose personal information you have given in this application. It may be necessary to pass on the personal information to a third party credit agent or insurers. You also agree to our terms and conditions.

For example, we may pass the information to a credit agency/ credit insurer where a search may be conducted on the information, so that an approved credit facility may be considered for you/your business.

Application to be signed by Director or Owner of Business.

I/We have read the Terms and Conditions overleaf and agree to abide by them:

Full name

Position

Select a date

Your Signature

Thanks for submitting!