Everything for the Builder and DIYer. Call 0115 944 0500 or click to request a callback.
Wednesday, 08 February 2012

Our Services
  •    Brick Matching
  •    Delivery Services
  •    Patio Design
  •    Estimating
Latest Testimonials
“Thanks for an excellent delivery service and helpful driver.”

Mr Oliver of Long Benington
Request Credit Account
To apply for a credit account with KRM please fill in the following form, fields marked bold and with an asterisks are required:

If you would like to apply for a cash account please apply here.

SECTION 1 - APPLICANTS DETAILS
 
Trading Title/Full Name:*
Address:*
Postcode:*
How long at this address: Years
Telephone:*
Mobile:
Fax:
Email:*
 
SECTION 2 - COMPANY DETAILS
 
Company Reg No.:*
Registered Office:*
How long has your company been trading:* Years
Main business activity:
 
PROPRIETOR/PARTNERS/DIRECTORS DETAILS:
 
Full Name:*
Address:*
Previous Address if less than 2 years at present address:
» Add Another Proprietor/Partner/Director
 
Previous Directorships / Partnerships, including disqualified:
 
PLEASE SUPPLY NAMES AND ADDRESSSES OF 3 COMPANIES WHERE YOU HOLD A CREDIT ACCOUNT:
 
1. Name:*
Address:*
Tel:*
Fax:
Contact Name:*
2. Name:
Address:
Tel:
Fax:
Contact Name:
3. Name:
Address:
Tel:
Fax:
Contact Name:
 
SECTION 3 - SELF BUILD DETAILS
 
PLEASE GIVE DETAILS OF PREVIOUS ADDRESSES, IF AT CURRENT LESS THAN 2 YEARS
Full Name:
Address:
 
Full Name:
Address:
Type of self build: New build Extension Garage Refurbishment Other (please specify below)
Other:
If new build please give site address:
Employers name & address:
 
SECTION 4 - BANK DETAILS & ACCEPTANCE
Bankers Name:
Estimate of Credit Account per month:* £
Have you previously held or been refused an account with this company? If yes, please give details:
Please state if we require an order no. from yourselves for the supply of materials
yes no
I/We wish to apply for a monthly credit account at KRM B.S. LTD.
I/We agree to the terms and conditions of sale.
I/We authorise that KRM B.S. LTD. may make a search with a credit reference agency.
 
What factors were most influential in deciding to apply for an account: (Tick up to 3)
Location Delivery Service Prices Credit Facilities Recommendation Customer Service Stock & Product Range Other (please specify below)
Other:
 
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