To comply with recent changes in the date protection legislation, we must now request that all customers completing one of our application forms to open a credit account must sign in section 16 below, authorising us to contact third parties in order that we may process your application.

Without this form completed, signed & returned we regret we will be unable to proceed further with your application.

In processing your account for credit facilities we may make enquiries of credit reference agencies or other third parties who may record those enquiries.

We may also disclose information about the conduct of your account with us to credit reference agencies or other third parties.

The information obtained from, or provided to, credit reference agencies or debt collection, may be used for trading & fraud prevention.

Please print off the form below, complete, sign, & return to JK Bathrooms Ltd, Unit 14, Bilton Industrial Estate, Lovelace Road, Bracknell RG12 8YT.

Application form:

1 - A copy of your headed invoice and / or business card should accompany this application.

     Please indicate if you are a limited company      YES / NO

2 - Trading name ______________________________________________________________________________

     Address __________________________________________________________  Postcode ________________

     Tel no ______________________________             Mobile no _______________________________________

     Fax no ________________________________         Email __________________________________________

3 - Date _______/________/___________

4 - Christian name ________________________         Surname________________________________________

5 - Date of birth ________/_________/___________   6 - Position in company____________________________

7 - Office address or private address ______________________________________________________________

8 - Type of business -   Public Limited / Private limited / Sole trader / Partnership / LLP

9 -  Home address & D.O.B if different from above for other partners or directors.

10 - How long established __________                        11 -Number of employees___________________________

12 - Nature of business _______________________ _  13 - Premises - Shop / Home / Etc

14 - Credit limit £___________.00                               Payment method Cheque / Bacs / Cash / Card

15 - Please give details of two firms supplying goods on credit who maybe contacted for references.

______________________________________                  ____________________________________

______________________________________                 ____ _____ ___________________________

16 - I / We hereby apply for a trade credit account and agree to pay the account by the last working day of each month of delivery in accordance with the conditions of sale, and being a Director/Partner or proprietor of the applicant company, jointly and severally guarantee performance of all the companies financial obligations to J K Bathrooms Ltd, including and financial obligations arising from any increase in credit limit granted by J K Bathrooms Ltd. From time to time following the review of the applicant company account. 

I / We also acknowledge and accept your terms and conditions of sale. I / We understand your payment terms are 30 days net. 

I / We have read and understood terms and conditions above and the data protection above on this form. Must be signed by a director(s) or propietor(s) of the business.

Signature_________________              Print__________________

Signature__________________              Print__________________