Open an Account

To apply for a Credit Account with Bullimores please fill in the form below or download the printable PDF
version here

Company Details

Company Name in full:

Address:

Telephone No:  Fax No:

Registered Office (if different):

Company Registration No:  VAT Registration No:

Names of Directors:

Years of Trading:

Contact:  Credit Limit required: £

Trade References

Reference 1 - Name & Address:

Contact Name:  Tel:  Fax:

Reference 2 - Name & Address:

Contact Name:  Tel:  Fax:

Reference 3 - Name & Address:

Contact Name:  Tel:  Fax:

Security Code: Please enter the code

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