Credit Application Form

Apply for a 30-day trade account with Modern Skips 2014 Ltd.
Complete the form below — our accounts team will contact you to confirm your application.

Company Name

Trading Name(s)

Trading Address

Address Postcode

Contact Telephone

VAT Registration Number

SIC Code

Business Type

Company Registration Number

Trading Since

Principal Nature of Business

Annual Sales

Order Number Required?

Waste Carriers Number

Trade Reference 1

Trade Reference 2

Credit Required (£)

Vehicle Registration (Tipping on Account)

I agree that the credit account facility will be on Modern Skips 2014 Ltd stated terms and that adherence to this obligation is the essence of the contract

I Agree

Signed By (Full Name)

Position in Company

On Behalf Of (Company Name)

Date

Company Name

Trading Name (if different)

Company Registration Number

VAT Number

Type of Business

Registered Address

Billing Address (if different)

Main Contact Name

Position / Job Title

Phone Number

Email Address

Requested Credit Limit (£)

Trade Reference 1

Trade Reference 2

By submitting this application, you consent to Modern Skips performing standard credit checks and storing your information securely for account management purposes.