Tell us about your business Fields marked with an asterisk (*) are required. What type of company are you? Limited Company Partnership Sole Trader Other... What type of company are you? Other... Business name * Full registered name of company Trading name If different from your company name Address * Postcode * Telephone * Fax Company website * Invoices contact email * Accounts contact email * Sales contact email * Purchasing contact email * Company registration number * VAT registration number * Number of employees * What is your main activity? * Reseller OEM Consultancy Other... What is your main activity? Other... If you are a Partnership, Sole Trader or Other Businesses, please list all Owners/Partners Owner/Partner 1 Full name Date of birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Address Postcode Property type Owned Rented Other... Property type Other... Owner/Partner 2 Full name Date of birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Address Postcode Property type Owned Rented Other... Property type Other... Owner/Partner 3 Full name Date of birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Address Postcode Property type Owned Rented Other... Property type Other... Has the applicant, any associated or parent Company, any of the above named persons or any limited Company of which the above named persons have formerly been a director or shareholder Previously traded with or applied for a trade account with Northamber PLC or its associated companies? * Yes No Been the subject of a Bankruptcy Order, Liquidation or arrangement made with Creditors? * Yes No Banking Details Name of primary bank * Address * Postcode * Sort code * Account number * Type of account Do you wish to be considered for a cleared funds Trade Account if a Credit Account is not approved? * Yes No Level of Credit Requested Payment Terms are 35 Days by Direct Debit Computer industry trade references Reference 1 Company Name Address Postcode How long as a supplier? Years Terms of trade Cash Credit If Credit, What limit do you have? Reference 2 Company Name Address Postcode How long as a supplier? Years Terms of trade Cash Credit If Credit, What limit do you have? About you To confirm that you accept our Terms and Conditions, please fill out your name and position below. Click here to view the Terms and Conditions Please enter your name here * Your position within the Company * The position can be Director/Sole Trader/Partner only
