New Account Application Form

1. Full Corporate and Trading Title *
2. Trading Address *
3.  
4. Trading Postcode *
5. Telephone Number *
6. Fax Number

1. Is your invoice address the same as your trading address?
2. Yes
3. No
4. 1. Invoicing Address (if different) *
   2.  
   3. Invoicing Postcode *
   4. Telephone Number
   5. Fax Number

1. How long at this address? Years 0 years 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10+ years 0 Months 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months *
2. Type of business? *
3. How long trading? Years 0 years 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10+ years 0 Months 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months *
4. Have you ever had an account with us before?
5. Yes
6. No
7. 1. Previous account/ABTA Number (if yes) *
   2. How long ago was the account terminated? Years 0 years 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10+ years 0 Months 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months *

1. Sales Contact

   1. Name *
   2. Telephone Number *
   3. Company Email address *
2. Accounts Department Contact

   1. Name *
   2. Telephone Number *
   3. Company Email address *
3. ABTA, TTA, Global, or ATOL Number
4. If bonded, please state who with
5. Please indicate payment method Please choose.. Single Payment Scheme Direct Debit Monthly Credit Cheque *
6. Statement E-mail (if SPS or Direct Debit) *

   For Direct Debit Agents: Please be advised that a mandate needs to be signed and returned prior to the account being opened. This will be sent on receipt of the application.

7. SPS Scheme (if applicable) Please Choose... ABTA ACAS2 Global CAPS *
8. VAT Number *

1. Is your company any of the following?
2. Sole Trader or Partnership
3. Limited Company
4. Neither

1. How many partners are there? 1 2 3 4 5 6
2. Partner 1

   1. Name *
   2. Address *
   3.  
   4. Postcode *
   5. Telephone Number *
3. Partner 2

   1. Name *
   2. Address *
   3.  
   4. Postcode *
   5. Telephone Number *
4. Partner 3

   1. Name *
   2. Address *
   3.  
   4. Postcode *
   5. Telephone Number *
5. Partner 4

   1. Name *
   2. Address *
   3.  
   4. Postcode *
   5. Telephone Number *
6. Partner 5

   1. Name *
   2. Address *
   3.  
   4. Postcode *
   5. Telephone Number *
7. Partner 6

   1. Name *
   2. Address *
   3.  
   4. Postcode *
   5. Telephone Number *

1. Registered Company Address *
2.  
3. Registered Company Postcode *
4. Company Registration Number *
5. Date Incorporated *

All requests must be submitted by an authorised company director or secretary.

1. Authorisation made by *
2. Position *
3. Date *
4. Bank Name & Address *
5. Trade reference 1

   1. Name *
   2. Job Title *
   3. Telephone Number *
6. Trade reference 2

   1. Name *
   2. Job Title *
   3. Telephone Number *