Sentex Hydraulix | Credit Account Application Form

Credit Account Application

Here to help...

Thank you for looking into opening a credit account with us. Please complete the form below with all the relevant information and if you have any issues then please do not hesitate to contact our accounts either via the contact form or our telephone number - option 2.

Full Trading Name of Applicant*

Purchase Email*

Address including Postcode*

Purchase Telephone*

Ex: 01234 123456

Purchase Contact Name

Accounts Telephone*

Ex: 01234 123456

Accounts Email*

Registered office if different from above

Purchase order requirements and procedure

Eg. PO required before releasing goods / only certain named persons to receive goods / paperless

Bank / Building Society Details

Bank/Building Society Name*

Account Name*

Bank/Building Society Address

Sort Code*

Account Number*

Trade Reference 1

Company Name*

Company Address*

Contact Number*

Ex: 01234 123456

Contact Email*

Trade Reference 2

Company Name*

Company Address*

Contact Number*

Ex: 01234 123456

Contact Email*

Account Details

Anticipated Monthly Spend*

Name of person responsible for account*

Application completed by*

Date

Security / Human Test

Please select todays date*

Please tick to confirm you're happy for us to contact you*

Products & Services

Information

Hydraulic & Pneumatic Ram Reconditioning Specialists

2, Colin Road, Scunthorpe, North Lincolnshire, DN16 1TT
01724 856451
sales@sentex.co.uk

Mon-Fri: 8:00-17:00 / Sat: 8:30-12:00
(01724) 856451
sales@sentex.co.uk