Credit Check Form

Contact Us

Credit Check Application

Content here about the application process

Type of Company

Applicants Contact Name

Company Registration No

Company Name

Names of Directors / Owners / Partners

Name

Date of Birth

Registered Office Address

Building Number / Name

Postcode

Address Line 1

Address Line 2

Town / City

County

Postcode

Is the Trading Address different to the Registered Office?

Trading Address

Building Number / Name

Postcode

Address Line 1

Address Line 2

Town / City

County

Postcode

Telephone Number

Email Address

Is the business VAT registered?

VAT Number

Accounts Department Contact

Accounts Department Telephone

Email Address for Invoices

Email Address for Statements

Credit Limit Requested

£

Order No Required

Trade references

Reference 1

Company Name

Telephone Number

Building Number / Name

Postcode

Address Line 1

Address Line 2

Town / City

County

Reference 2

Company Name

Telephone Number

Building Number / Name

Postcode

Address Line 1

Address Line 2

Town / City

County

Proof of ID (passport or driving licence)

Upload file No file chosen

Proof of address (e.g. utility bill)

Upload file No file chosen

Additional Information

Please confirm you have read and accept our Terms & Conditions and agree to the Ripon Farm Services payment terms of 28 days date of invoice. Please note first orders are to be paid in advance either by bank transfer or in person at depot using chip and pin.

Customer acknowledges that payment for the first two orders is to be made in advance of the provision of any goods or services.

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