Account Applications
Please complete this form and submit it to our accounts team for processing.

If you would prefer to fill in the form off-line please download the Microsoft Excel Spreadsheet below.

Once complete please contact your nearest branch.

SECTION 1 : MAIN COMPANY DETAILS

Your Name

First Name

Last Name

Company Name

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Website

http://

Company Registration Number

Date Company registered

YYYY

VAT Number

Number of Employees

Estimated Annual Turnover With Toolbank

Requested Credit Limit

SECTION 2: ACCOUNTS DEPARTMENT DETAILS

Accounts Contact

First Name

Last Name

Accounts Phone Number

Accounts Email Address

Please note; Invoices and statements are emailed to this address unless the following alternative is provided.

Invoice Email

Statement Email

Delivery Note Email

SECTION 3: PURCHASING DEPARTMENT DETAILS

Purchasing Contact

First Name

Last Name

Purchasing Phone Number

Purchasing Email

SECTION 4: DELIVERY ADDRESS

Please specify a delivery address if different from the one given above.

Delivery Contact Name

Contact Phone Number

Delivery Contact Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Special Instructions

Please inform us of any special delivery instructions.

SECTION 5: YOUR BUSINESS TYPE

Which best describes your company?

SECTION 6: INVOICING & DELIVERY NOTE

Is this company a member of a Buying Group?

If Yes, please indicate as such and move on to Section 8

Yes

Please state your invoice regularity preference.

Please indicate a pricing option for your delivery notes

SECTION 7: TRADE REFERENCES

Please give us two trade references.

Trade reference 1 company name

Trade reference 1 Contact Name

Trade reference 1 phone number

Trade reference 1 email address

Trade reference 1 address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Trade reference 2 company name

Trade reference 2 contact name

Trade reference 2 phone number

Trade reference 2 email address

Trade reference 2 address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

SECTION 8: DECLARATION

Please select the check box below to signify you accept our conditions of sale (link here)

Declaration

I hereby affirm that all information is true and accurate to the best of my knowledge and belief. Notice must be provided of any change in status impacting the information provided within (10) ten days of said change.

Declaration Name

Declaration position

Date

YYYY

Any Additional Information:-

Toolbank
Head Office Long Reach,
Galleon Boulevard,
Crossways Business Park,
Dartford, Kent,
DA2 6QE.

Tel 01322 321 400
Fax 01322 383 434

Toolbank Account Application Form