Farmers Guide

WEATHER CHECK

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Credit Application

Please complete this credit form to allow us to be able to offer credit for advertising within our magazine. Businesses that are new, have medium to low credit rating or are overseas, will be asked to prepay all invoices.

Step 1 of 3 - Company details

33%

Company name*
Phone number*
Email*
Business type*
- Limited company
Company address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Company registration number
Date of registration
MM slash DD slash YYYY
VAT number*
Estimated annual turnover*

Accounts company name*
Phone number*
Email*
Accounts address (if different to company address)
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
How would you like to receive your invoices and statements?*
- Post
- Email
- Both
Order numbers required?*
- Yes
- No
Credit Limit Requested
Directors
Please provide full names, and addresses for the following applicable to your business:
All directors and company secretary (if applicable)
Full name of sole trader
All partners

Bankruptcy / Insolvency History
Have any of the above been declared bankrupt or been involved with as a director or shareholder with a company which has been wound-up or is the subject of insolvency proceedings?*
- Yes
- No
Does the applicant business or any of its directors, secretary, any of it's partners or the sole trader him/herself have any county/high court judgement pending or registered against it/them?*
- Yes
- No
Parent / Holding Company Details
Please give any details of any parents or holdings company of the Applicant Business if applicable:
Trade References
Reference 1
Postcode
Phone number
Email
Reference 2
Postcode
Phone number
Email
Full name*
Position
Please confirm*
By ticking this box you consent to your contact details being stored by us for contact purposes.

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reception@farmersguide.co.uk

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Farmers Guide, Unit 3-4 Boudicca Road,
Suffolk Central Business Park,
Stowmarket, IP14 1WF

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The Farmers Guide Team