(All fields marked with an * are mandatory)

Title*	Ms Mrs Miss Mr Dr Reverend
Forename(s)*
Surname*
Business name (in full)*
Business postcode*
Can't find your address?

Telephone
Mobile*
Fax
Email
Business type*	Sole proprietorship Partnership Limited company PLC Other
Nature of business*
Do you wish goods to be supplied against Official Order only?*
Yes No

(All fields marked with an * are mandatory)

Limited company/PLC details

Registered office address

My registered office address is the same as my business address

Postcode*
Can't find your address?

Company registration number*

This field must contain 8 characters, e.g. 00012345. If your company is registered in Scotland,
IOM or Channel Islands, the registration number will be alpha numerical, e.g. SC012345.

(All fields marked with an * are mandatory)

Sole Proprietor's / Partner's /Director's Details

Please provide your full name(s), home address(es)
and previous address(es) (if resident for less than 5 years)

Title*	Ms Mrs Miss Mr Dr Reverend
Forename(s)*
Surname*
Date of birth*	dd 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 mm 01 02 03 04 05 06 07 08 09 10 11 12 yyyy 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995
Home postcode*
Can't find your address?

Has the above lived here for less than 5 years?

Yes  No

ADD ADDITIONAL PROPRIETOR DETAILS

(All fields marked with an * are mandatory)

Bank details

Bank name
Bank address
Sort code	- -
Account number
I hereby give authority for Magnet Limited to approach the above bank for a reference

If you are unable to provide your bank details,
please give one of the following:

Passport number
National Insurance number
Driving license number

A Magnet Trade Rep will contact you to verify your ID to complete your application.

Your local branches

Please select your preferred local branch:

By making this application for credit, I consent to Magnet Ltd undertaking credit reference enquiries with Credit Reference Agencies as well as with the Bank named above at any time during the course of my trading with Magnet Ltd. I consent to the disclosure of information about myself to our partner company offering an alternative trade credit facility or agents of Magnet Limited, who may also make inquiries about Directors and Partners, for the purpose of applying for, setting up or managing a trade account. I also consent to Magnet maintaining records of such enquiries and to Magnet sharing information about the way in which I conduct my account with Magnet with other lenders and with Credit Reference Agencies. I also consent to the disclosure of information about myself to agents of Magnet Limited, who may also make enquiries about Directors and Partners.
We will record your purchasing details and may use this information for product marketing. Magnet Trade will never pass on your details to 3rd parties without your consent.
If you do not want to be contacted by us, please tick the following box
By providing us with your details you consent to us contacting you to inform you of goods and services, unless you have indicated otherwise above. Under the Data Protection Act you have the right to apply for a copy of the information we hold on you, for this service or to correct any inaccuracies we may charge a small administration fee. Training requirements may require some telephone calls to be recorded or monitored.