Please fill in ALL the relevant data that applies to you. Should you require assistance in filling in this form please contact our credit control department on 01727 206918 or fax 01727 203826. You can also email your queries to dixonsalesledger@dixons.co.uk


BUSINESS DETAILS

Full Business Name  
Business Address  
Post Code  
Contact Name  
Job Title  
Contact Telephone Number  
Fax Number  
Contact E-mail Address  
Accounts Department Contact Name  
Contact Telephone Number  
Fax Number  
Invoice Address (if different from above)
Post Code
VAT Number

ESTIMATED CREDIT PER MONTH/TYPE OF ACCOUNT REQUIRED

Please Select Appropriate Box for credit
                                                                                                  
Please Select Appropriate Box for Account Type

Please select your company type
LIMITED COMPANIES ONLY
Company registration Number  
Registered office address (if diffrent from above)
Post Code
SOLE TRADERS / PARTNERSHIPS ONLY
FULL NAME AND RESIDENTAL ADDRESS(ES) OF SOLE TRADER / PARTNER. Sole Traders and Partnerships you will need to provide 3 years accounts including a balance sheet and a profit and loss account

 
REGISTERED CHARITIES ONLY
Registered Charity Number  
NON PROFIT MAKING ORGANISATION
Address

Print Terms