The Workshop Werehouse

Credit Application Form

Van-Line Ltd Trade Account Form

Van-Line Ltd | Gelderd Road | Leeds | LS12 6NA | England
T: +44 (0)113 213 4300 | F: +44 (0)113 213 4319 |

If you would like to become a distributor of The Workshop Warehouse products please complete the form below

Company Information
Company Registration No.
Full Company Name
Trading Name (if different)
Address (*)
Postcode (*)
Delivery Address/Instructions
Telephone (*)
E-mail (*)
Type of Business (*)
Mobile Distributor (*)
If Other Type of Distributor Please State
No. of years in business (*)
Predicted Monthly Expenditure with Van-Line (*)

Company's Banking Details
Bank A/c. No. (*)
Sort Code (*)
Bank Name and Branch Address (*)

Personal Details
What is your role in this business (*)
Your Title (*)
Your First Name (*)
Other initials
Surname (*)
Home Address (*)
Postcode (*)
Number of years at this address (*)

If you have been at your home address for less than 3 years please email us a scanned copy of a previous utility bill and fill in the previous address box below

Previous Address
Previous Postcode
Your date of birth (*)

Trade Reference Details
Trade Reference Name
Trade Reference Address
Trade Reference Telephone

I have received a copy of Van-Line Ltd’s Terms of Trading, and have read, understood and accepted them. I understand
that Van-Line Ltd will make a search with a credit reference agency, which will keep a record of that search and will share
that information with other businesses. Van-Line Ltd may also make enquiries about the principal directors with a credit reference agency.

Please check this box if you accept the above statement (*)