Business Account Application Form

This form is exclusively for business use only. If you would like to apply for a new credit account with us please submit your details as requested below.

Pre-requisites for Business Account

The business applying has been trading for 2 years+(Required)

Yes

The business applying has a current Tax Clearance Certificate(Required)

Yes

Thank you for your interest in our services. Unfortunately we can not currently process your credit account application. Credit accounts can only be considered for businesses that have been trading for a minimum of two years and have a current Tax Clearance Certificate. If you leave some details of your business it would help us to assess who is interested in providing our services.

Business Name

Business Address

Business Information

Registered Business Name(Required)

Does the business use a different trading name?

Business Trading Name(Required)

Business type(Required)

Other business type

Please provide details of your business type

Business Address(Required)

Street Address Address Line 2 Town/City County Eircode

Business Registration Number(Required)

Business Registration Date(Required)

Tax Reference Number(Required)

Tax Clearance Certificate Number (TCAN)(Required)

Purchasing Information

Which services are of interest to you?(Required)

More than one service type can be chosen

Pre-Purchase Structural Survey (residential)

Domestic BER Assessment

Boundary Services

Opinions on Compliance

Structural Building Regulations Review (new builds)

Planning Services

Commercial Pre-Purchase Structural Survey

Other

Have you purchased 4 or more services from us to date?(Required)

Yes

What will your approximate monthly order value be?(Required)

Please provide total in Euros (€)

Applicant Information

Your Name(Required)

First Last

What is your position in the business?(Required)

Your Email(Required)

Enter Email Confirm Email

Your Contact Number(Required)

Notes

Is there anything else you would like to tell us?

Credit Assessment and Decision Process

The information provided in this form will be used to obtain business credit reports from a credit checking agency. The decision to offer a credit account and determine the applicable credit limit will be based on the results of this credit report.

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To complete and submit this form please choose an option in the business type section.

This field is for validation purposes and should be left unchanged.