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 Credit AccountThe business applying has been trading for 2 years+(Required) Yes No The business applying has a current Tax Clearance Certificate(Required) Yes No 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 InformationRegistered Business Name(Required) Does the business use a different trading name?NoYesBusiness Trading Name(Required) Business type(Required)Choose an optionPrivate Limited Company (LTD)Designated Activity Company (DAC)Company Limited by Guarantee (CLG)Owners Management Company (OMC)Public Limited Company (PLC)Unlimited Company (ULC)Sole TraderGeneral PartnershipLimited PartnershipHolding CompanyOtherOther business type Please provide details of your business typeBusiness 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 InformationWhich 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 No What will your approximate monthly order value be?(Required)Please provide total in Euros (€)Applicant InformationYour Name(Required) First Last What is your position in the business?(Required) Your Email(Required) Enter Email Confirm Email Your Contact Number(Required)NotesIs 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. Consent(Required)I give consent for the provided information to be used in obtaining a business credit report to assess our eligibility for a credit account. I agree to consent.Privacy PolicyCLICK HERE TO READ OUR PRIVACY POLICYConsent(Required)I give consent to use this information to send additional emails and communication as described in our Privacy Policy I agree to the privacy policy. To complete and submit this form please choose an option in the business type section.
