• QUANTUM ELECTRICAL DISTRIBUTION ACCOUNT APPLICATION FORM

  • YOUR BUSINESS DETAILS

  • LIMITED COMPANIES ONLY:

  • TRADE REFERENCE 1

  • TRADE REFERENCE 2

  • BANK NAME AND ADDRESS:

  • CUSTOMER AUTHORISATION FOR BANK REFERENCE

  • Hereby authorize you to provide a reference on me/us in response to any requests you may receive from Quantum Electrical Distribution Ltd, subject to payment of any related fee by the originator, without further reference to me/us.

    This authority shall remain in force unless and until cancelled by me/us in writing

    Signed: Dated:

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  • (This form should be signed by a Director/Partner/Owner or other such properly authorized person)

    CUSTOMER DECLARATION/PERSONAL GUARANTEE (DELETION ONLY BY A QUANTUM DIRECTOR):

    I/We the undersigned apply to Quantum Electrical Distribution for credit facilities and declare that the information given above is accurate. I/We agree to trade on Quantum Electrical Distribution Te r m s and Conditions of Sale as are applicable at the date of the transaction and confirm that I/We have read the Te r m s and Conditions of Sale contained in this form. Quantum Electrical Distribution reserves the right to terminate this agreement for credit forthwith without notice upon a breach by the customer This is a legally binding document. We recommend each personal guarantor seeks independent legal advice as to his or her liabilities under this document before signing it. In consideration of Quantum Electrical Distribution agreeing to grant credit facilities to the Applicant, you, the undersigned, unconditionally guarantee the due and punctual performance and discharge of all of the Applicant’s current and future financial obligations to Quantum Electrical Distribution, including any subsequent increase(s) in credit limit and all interest and late payment charges upon such sums. Please refer to the full terms and conditions relating to this personal guarantee and indemnity section 56 Registered address: Unit 8 Meadowbrook Industrial Sussex RH10 9S

  • NAMES AND HOME ADDRESSES OF DIRECTORS OR PARTNERS

    ALL DIRECTORS/PARTNERS LISTED MUST SIGN
  • FIRST DIRECTOR/PARTNER

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  • SECOND DIRECTOR/PARTNER

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  • QUANTUM RESPECT YOUR PRIVACY

    If you open an account, we may search the files of credit reference agencies who will record the search, and we may share that information about the way in which you conduct your account with other lenders and with credit reference agencies. If you do not wish for us to carry out such a search then please do not complete this form. We may need to disclose your information to our agents. We will record your purchasing preferences and may use your information for marketing. We may pass your information to our group companies or other carefully selected third parties and we, Or they may wish to contact you with offers of goods or services which may interest you. We will only do this if you do not object below to us doing so. 1.Please tick here if you do not want us to contact you with information about goods and services which we feel may be of interest to you by:
  • THANK YOU FOR CHOOSING QUANTUM ELECTRICAL DISTRIBUTION

  • Terms & Conditions are available on request or can be downloaded from our website. www.quantum-electrical.com

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