Phone Registered Business and/or Trading Name: * Registered Address: * Tel No: * Mobile No: * Email Address * Type of Business * PLC Ltd Sole Trader Partnership Nature of Business * Upload Photo ID * Add File Please upload your ID in JPG, PNG or PDF format. How long have you traded? Amount of Credit Requested Person to be contacted for payment of account * Details Sole Traders / Partnerships / Director details Full Name * Home Address * Are any of the directors/owners or partners to this business un-discharged bankrupts Yes No Have any of the directors/owners or partners had any other credit accounts with Joseph Parrs? Yes No Name of the company if so ARE OFFICIAL ORDER NUMBERS REQUIRED? * Yes No Bank Name * Sort Code * Bank Address * Account Number * References Please specify 2 references of any credit accounts you have 1. * 2. * Information Summary
