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Apply for a Trade Account (Sole Traders and Partners)

This form is for Sole Traders and Partners only. Please only fill out this form if you are a Sole Traders or a Partner.

REP ID
New Customer No.
Customer Name
Contact
Date of Birth
Address 1
Address 2
County
PostCode/Eircode *
Telephone
Email
Payment Type
Trade Reference 1: Company name
Trade Reference 1: Contact
Trade Reference 1: Phone No.
Trade Reference 2: Company name
Trade Reference 2: Contact
Trade Reference 2: Phone No.
I confirm the details given above are correct *
I have received a copy of (Solv-X Products Ltd) Terms & Conditions which include a retention of title clause and agree to adhere to the same*
I will pay all amounts due on the day as per our agreement *
I/We agree that this information may be used to support a request for credit facilities with you and your associated companies in accordance with their credit vetting facilities *

Privacy Agreement

By submitting this form, you are giving us permission to use the information provided to respond to your enquiry. This information will only be used to fulfil the enquiry and will not be stored. We’ll handle your information in line with our Privacy Policy.
i
By submitting this form, you are giving us permission to use the information provided to respond to your enquiry. This information will only be used to fulfil the enquiry and will not be stored. We’ll handle your information in line with our Privacy Policy.