Apply for an Account

Please complete the form below to apply for a trade credit account.
Fields marked with * are required.

Company Details

Trading Name:*

Company Name (if different):

Trading Address:*

Company Registered Office (if different):

Postcode:*

Telephone:*

Fax:

Member of Group (e.g. Buying Group):

Company Registration No.:

Legal Status:*

If subsidiary, owned by:

Account Contact Information

Account Contact:*

Buyer:

Email Address:*

Credit Limit Required:

Bank Details

Bankers Name:

Bankers Address:

Account Number:

Sort Code:

Trade References

Reference 1

Name:

Address:

Postcode:

Telephone:

Fax:

Reference 2

Name:

Address:

Postcode:

Telephone:

Fax:

Agreement

I/we understand the above may be contacted to verify references. I/we enclose a sample letterhead of our company. I/we agree to comply with BED Electrical Distributors Ltd payment terms, which are 30 days after invoice date. I/we agree that all orders will be on BED Ltd standard Terms and Conditions of Sales.

Print Name:*

Position: