Trade Application

You're one step away from a Revolution in parts supply

Section 1 – about your company

Name of company / proprietor *

Trading name if different

Business type *

Location *

VAT Registered? *

Area of business *

Website

Specialist for certain vehicles? *

No of employees

Anticipated purchases per month

No of outlets

Section 2 – Company / Proprietor / Partners address details

Section 3 – delivery & invoice address

Delivery address

Street *

Street2

Town / City *

County (start typing to find)

Post Code

Country *

Invoice address Note: Invoices will only be sent by email or electronically

Same as delivery address

email address for invoices *

blank field

Section 4 – contact details

Post Code

Section 5 – bank & payment details

Bank name

Sort code

Account number

Payment method *

Section 6 – trade references

Required only if credit is requested

Section 7 – data protection

We may make a search with a credit reference agency, which will keep a record of that search and will share that information with other businesses. We may also make enquiries about the principle directors with a credit reference agency.

We will monitor and record information relating to your trade performance and such records will be made available to credit reference agencies, who will share that information with other businesses in assessing applications for credit and fraud prevention.

Section 8 – declaration

The information given above is, to the best of my knowledge, accurate and I understand false information given may lead to withdrawal of trade facilities. Without further notice I / We undertake to inform Revolution Performance Midlands Ltd immediately and in writing of any changes relevant to information given in this application for credit facilities. I / We understand and agree that all trading with Revolution Performance Midlands Ltd will be on the basis of the company’s terms and conditions of sale, a copy of which I / We acknowledge receipt of and understand that any variations will be notified in writing.

I confirm that the person named below has the authority to complete this trade application and Agree To Revolution Performance Midlands Ltd Terms & Conditions of Sale*

The undersigned agrees *

To Revolution Performance Midlands Terms & Conditions of sale and confirm we have received a copy

Click HERE for terms & conditions of sale

Signature / Name *

Position *

Date *

Your Email *

Submit