Government Application Form

Organisation Name*

Trading As

Have you held/hold any Rexel UK group accounts (Newey & Eyre/Denmans/Wilts/WF Senate)?

Yes

Existing Relationships

Account Name (if known)

Account Number (if known)

Organisation Information

Account opening with*

Preferred branch location

How did you hear about us?

If other, please specify.

Annual Electrical Spend

Please indicate the Credit Limit you require

Type of business

Number of fixed term employees

Organisation Details

How long has Organisation been established?

Organisation Address*

Postcode*

Tel No*

Mobile No*

Fax No

Email*

Invoice/Statement Information

Accounts Dept Contact

Invoice Address

Postcode

Statement Address (if different from Invoice)

Postcode

Tel No

Mobile No

Fax No

Yes - you would like to receive your invoices by email

Banking Details

Bank Name*

Account Name*

Account No*

Sort Code*

Tick if you would like to receive information about our products and any special offers by post / by email / by telephone / by text message / by recorded call

Yes - I want to receive marketing information with the latest offers, promotions and products from Rexel UK Ltd.

Please let us know if you would like this to be sent to a specific person

Email (if different from main)

Contact Name (if different from main)

We use your data to administer your account, process your orders and recommend items you may be interested in. In cases where we need to share your information with third parties, we make sure they handle it with as much care as we do. To find out more, read our Privacy Policy.

Declaration T&C’s can be found at www.corporate.rexel.co.uk

I, the undersigned, hereby apply for a credit account and confirm that I have read and accept Rexel's Standard Trade Account Application Terms and Conditions (www.corporate.rexel.co.uk/ terms), and any amendments or revisions thereof from time to time in force. In addition to you opening a credit account if my credit application is successful. I also consent to Rexel opening an online web account in my name so that I may benefit from online services and have the option to purchase goods from the Rexel Webshop. CREDIT CHECKS: When considering your application for a credit account, Rexel will make searches with credit reference agencies, who will keep a record of your application and share information with other businesses. As part of this process, we will search business credit records and personal credit records of the principle director/ partners/ proprietors. Data on associates or persons financially linked to the actual applicant will also be obtained, and you hereby warrant that you have sought and obtained consent from the relevant persons for such information to be provided on the credit search. If your application is successful, we will let credit agencies know of any change of address, payments made, account balance, defaults on payment, late payments, disputes, or debts. If you make further credit applications, then we or other organisations may use the information recorded on your personal or business credit file to help us make a decision. We may share those details with other companies in our group, or with fraud and theft prevention agencies. For further information, read our Privacy Policy https://corporate.rexel.co.uk/policies-and-certificates/privacy-policy/ to find out how we handle your information.

Name*

Position*

Date of Declaration* (please select today's date)

Please tick to confirm your signature and that you have read and understood the T&C’s*

Yes - I confirm and sign* (please tick)

Must be authorised by Employer/ Partner/ Proprietor

If you would like someone else to be updated on the status of your account please input their email here: