HAWKES GROUP

Monthly credit account application

Strictly Confidential

Details of the Business applying for credit (referred to in the remainder of this form as the “Applicant Business”)

Business Trading Name

Company Name (if diffrent from trading name)

Company Number

Date established

Where the applicant Business is a limited company, we require a Guarantee and Indemnity from the
director(s) of the applicant Business

Business Address

Post code

Phone

Mobile

Registered Office (if different from above)

Post code

Full Names And Addresses of all directors and (if any) the company secretary (if limited company) or of all partners (if a partnership) or of the sole trader (if a sole trader)

Full name

Address

Bankruptcy / Insolvency History

Have any of the above individuals been declared bankrupt or been involved either as director or shareholder with a company which has been wound-up or is the subject of insolvency proceedings? (if yes, please give details)

Yes

Does the Applicant Business or (i) any of its directors or secretary (ii) any of its partners or (iii) the sole trader him/herself have any county/high court judgements pending or registered against it/them? (if yes, please give details)

Yes

Parent / Holding Company Details

Please give details of any parent or holding company of the Applicant Business if applicable:

Bank Details

Bank Name

Account Number

Sortcode

Bank Address

Post code

Trade References

Full name

Phone

Full name

Phone

Full name

Phone

Address

Email Address

Address

Email Address

Address

Email Address

Credit Amount

Company

Amount

Contact Name for account queries

Name

Position

Your Signature (Must be signed by the director of the business)

Thank you! We’ll be in touch.