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Create a New Account

Apply for a new credit account with Charles Wilson today. Simply fill out the form as best as you can and we will be in touch with you shortly. Where a * appears this indicates a mandatory field.

Download in PDF format

	New Account Details
Your name	*
Your position	*
Depot
Sales Executive
Type of Business
Company
Address
Postcode
Tel	*
Fax
E-mail	*
Website

	Invoice Address (if different from above)
Name
Department
Address
Postcode
Tel
Fax

	Proprietors Address (if not a limited or parent company)
Name
Address
Postcode
Contact Name
Tel
Fax
Website

	Insurance Brokers Address
Name
Address
Postcode
Tel
Fax
Name of Insurance company for hired plant

	General details
Your reference required on invoices (order no/name etc)
Approximate value of credit required
VAT number
	Bank Account Details (of new account holder / proprietor where applicable)
Bank
Address
Postcode
Bank Account Number
Bank Sort Code

Minimum of 2 trade references required

	Trade Reference 1 (Must have traded for minimum 1 year)
Contact Name
Company Name
Address
Postcode
Attention of
Tel
Fax

	Trade Reference 2 (Must have traded for minimum 1 year)
Contact Name
Company Name
Address
Postcode
Attention of
Tel
Fax

	Trade Reference 3 (Must have traded for minimum 1 year)
Contact Name
Company Name
Address
Postcode
Attention of
Tel
Fax

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