Application for Credit Account

It only takes a few minutes to apply for a credit account with Aztek Logistics.

Please have the following information ready:

- Registered company details
- Invoicing/billing details
- Banking details
- Warehouse details
- Trade references

Your Application

Please open credit facilities in our name for the value per month (£):

Business Details

Name please contact(s)

Full business name

Business address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Number of years trading

Nature of business

Company registration number

Telephone number

Invoicing Details

Checkboxes

Use 'Business address' for invoicing too

Address for invoicing

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

VAT number

Banking Details

Bank name

Bank Town

Account number

Sort code

Account Contact

Name

Email

Telephone number

Other contact(s)

Warehouse Details

Opening and closing times of warehouse

Warehouse contact name

Warehouse phone

Trade References

First Reference

First Reference Name

First Reference Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

First Reference Telephone

Second Reference

Second Reference Name

Second Reference Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Second Reference Telephone

Marketing

Please tell us how you found us?

Agreement and Terms & Conditions

Checkboxes

I agree to the below terms

BIFA terms and conditions - please click here to read the full terms and conditions.

UKWA terms and conditions - please click here to read the full terms and conditions.

RHA terms and conditions - please click here to read the full terms and conditions.

Payment terms are (subject to credit limit approval) strictly 30 days end of the month.

I am authorised to fill in this account form.

Signature

Clear Signature

Print name

Position

Dated