Credit Application

If you wish to apply for a credit account, please fill out the form below. A member of our Credit Control team will then contact you to set up a direct debit.

Credit Account Application Form

Company Details

Your contact at Reach PLC:*

Full Company Name:*

Trading Name: (If different from company name)

Type of Business:*

Ltd

Other

Company Registration Number:*

PLEASE SPECIFY e.g. Sole Trader, Partnership etc*

Proprietor(s) / Managing Director(s) Name(s):*

Date of Birth: (for Sole Traders this is required)

Trading/Registered Address:*

Length of Time at Address:*

Previous Address (if at current address less than 3 years):

Invoicing Address: (if different from the above)

Length of Time at Address:

Previous Address (if at current address less than 3 years):

Home Address: (for Sole Traders this is required)

Length of Time at Address:

Previous Address (if at current address less than 3 years):

Company Tel No:*

Date Established:*

Charity No if Vat Exempt:

Monthly Credit Required:*

For Zero/Exempt rating, please supply self certification of qualification for VAT Zero Rating. If operating in the EU but outside of the UK, please supply your registered VAT number and country of registration:

Email Address:*

Web Address:*

Nature of Business:*

Bank Details

Bank Name:*

Account Name:*

Bank Address:*

Bank Sort Code:*

Account Number:*

PAYMENT/INVOICING INFORMATION

Is a PURCHASE ORDER NUMBER required on invoices from Reach Publishing Services ? Please tick box YES/NO. PLEASE NOTE: For the PO number to appear on all invoices this must be provided at the time of booking. *

Yes

PLEASE NOTE: all correspondence will be sent via email where an email address has been supplied.*

Declaration

I/we hereby declare that the information given is complete and accurate to the best of my/our knowledge. I/we acknowledge that where a full monthly credit account is offered, invoice/s will become due and be paid by the 25th of the month following month of invoice. Where a direct debit account is offered, I/we undertake to ensure that funds are available to be collected by Direct Debit on the due date. The signature on this form is confirmation that you fully accept these terms and will adhere to them. Please note that once this form is returned, duly completed, it will be necessary for us to undertake a credit check with a credit reference agency, in order to process your application further and offer you credit facilities. Your signature on this form indicates that your full permission is given for us to undertake this check. Please ensure that all appropriate sections of this form are fully completed with the information requested.*

By Checking This Box, You Are Electronically Signing This Form and Are Agreeing to the Terms & Conditions Stated in the Guidelines Above

Name and Position Within Company (please print full name):*

Date:*

Name and Position Within Company (where more than one signature is required please use this section):

Date:

By submitting this form you agree to our Privacy Policy *

PLEASE NOTE: It is the responsibility of the above named company to advise of any changes to the above information. This form must be completed by the Finance Director or a senior member of the Finance Team.