Account Application

Business / Trading Name

Business / Trading Address

Address Line 2

City

Post Code

Main Phone Number

Purchase Ledger Phone Number

Mobile Phone Number

Website

Business Type

Company Registration Number

Approx Monthly Spend on Fixings

Partners / Directors Full Names

People Authorised to Place Orders Position

Name 1

Position

Name 2

Position

Name 3

Position

Name 4

Position

Name 5

Position

Order Numbers Required

Yes No

Job Reference Required

Yes No

Name of people authorised to make payment

Email address for invoices and statements

Upload a copy of your letterhead

I confirm that if credit facilities are approved the account will be paid as per our normal monthly terms; 30 days after month end.

I confirm that I have read and agree with the company’s terms and conditions of sale, see below.

Your First Name

Your Last Name

Date

Freeway Fixings Ltd is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below:

I agree to receive communications from Freeway Tools and Fixings Ltd

In order to process this application and provide you with products and services, we need to store and process your personal data.

In processing your application for credit facilities we make enquiries of credit reference agencies and other third parties who may record these enquiries. We may also disclose information about the conduct of your account to credit reference agencies and other third parties. The information obtained from or provided to credit reference agencies or other third parties may be used when assessing further applications for credit terms, for debt collection, for tracing and for fraud prevention.

If you consent to us storing your personal data for this purpose, please tick the checkbox below:

I agree to allow Freeway Tools and Fixings Ltd to store and process my personal data.

You may unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy, see below.

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