Credit Account

To apply for a credit account please either:
1) Download the application form and fax back to us at 0800 272 329. OR;
2) Complete the form below.
Note: * denotes required information

Customer's Trade Name:*
Date:*
Customer's Full Name or Legal Name*
ALL CUSTOMERS TO COMPLETE
Phone:*
Fax:*
Cellphone:*
Email:*
Billing Address:*
Physical Address:*
COMMERCIAL CUSTOMERS ONLY
Company Number:*
Requested Credit Limit:*
Date Established:*
Contact 1:*
Contact 2:*
Position:*
Position:*
Phone:*
Phone:*
DETAILS OF OWNER (If Sole Trader) PARTNERS (If Partnership) OR DIRECTORS (If Company)
Full Name:*
Full Name:
Home Address:*
Home Address:
Post Code:*
Post Code:
Home Phone:
Home Phone:
CREDIT REFERENCES
Business Name 1:*
Business Name 2:*
Home Phone:
Home Phone:
Address or A/C No:*
Address or A/C No:*
Phone:*
Phone:*
Fax:
Fax:
I certify that the above information is true and correct and that I am authorised to make this application for credit. I authorise the use of my personal information as detailed in the Privacy Act.
I have read and understand the TERMS AND CONDITIONS OF TRADE of BE Hall Ltd T/A Arc Welding Supplies.

I consent to receive email from Arc Welding Supplies at the email address provided in this form.

We won't pass on your data to anyone else. It is only for our own use, as stated in our privacy statement .