Credit application - Pallet LOOP

Credit Account Application

Please complete the below credit eligibility form.

"*" indicates required fields

Registered Comany Name*

Trading Name (if different)

Legal Entity*

VAT registration number*

Type of company

Material Manufacturer

Principal Contractor

Waste Contractor

Trade/Logistics Contractor

Merchant

Housebuilder

Pallet Dealer

Other

Registered Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Do you have valid Public & Employers Liability Insurance?*

Company Website Address

Primary Contact Name

Primary Contact Email

Primary Contact Telephone Number

Is invoice address the same as the registered address?*

invoice Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Invoice email address*

This should be the email address to where pallet LOOP invoices will be sent

Accounts payable Contact Name*

Accounts payable Contact Number*

Accounts payable Contact Email*

£ Credit Limit Required

Pallet LOOP Account Manager

Name of Bank

To enable Pallet LOOP to pay you any LOOP pallet credits, please provide your bank details.

Account Name

Account Number*

Account Sort Code*

Authorisation*

Authorisation I/We agree to the Terms and Conditions of Pallet Loop Limited, including payment terms stated therein, and agree to trade in accordance with these in respect of all transactions. I/We authorise representatives of Pallet LOOP Limited to obtain relevant financial/credit information from trade referees and credit reporting agencies under the relevant Data Protection Act.

Tick Box required to confirm you agree to our Terms & Conditions

Click here to view our Terms & Conditions