Trade Account Application

Please complete the Trade Account Application form and the PCT Automotive sales team will manage the application process.

Company Name	Trading Name
Company Type: (Please tick one) Sole Trader Limited Company PLC Other Other
Registered Office Address	Company Registration Number
	VAT Registration Number
	Parent Company
Invoice Address	Main Delivery Address
Invoice/Statement Email Address	Order Confirmation Email Address
Accounts Telephone Number	Purchasing Telephone Number
Full Names of ALL Directors/Partners	Main Contact
	Purchasing Contact
	Accounts Contact
Credit Limit Required (Put 0 for Pay As You Go):	Approx Number of Towbars Sold Per Year
DECLARATION I confirm that I have read, understood and agree to the PCT Automotive Terms and Conditions of Sale.
Signature Sign in box below or upload a signature image. Upload a Signature Image	Name
	Position
	Date