CUSTOMER APPLICATION FORM

CUSTOMER APPLICATION FORM

Please complete all sections in full before returning to SERAPHINE
1. Company Information
Company/ business name
Registered Number

Website address

Business/Shop address

Tel no

Email address

Address of registered Office (if different from above address

Nature of Business

Current Annual Turnover

Date started trading

VAT Number

Is your company a Plc, Limited company, Partnership, Sole Trader, other

(please specify)?

Trading Name (If different from Company Name)

Directors/Owners (All Directors must be included)
1
2
3
Is your company part of a group (Yes/No)
If so, please state what group

Partnership/ Sole Trader

Names and Addresses of Partners/ Proprietor (continue overleaf if more than

two)
1

Seraphine Ltd, Newlands House, 4th Floor 40 Berners Street W1T 3NA, LONDON
T: 020 7472 0217
Company number: 04406761
Vat No: GB 795948743

CUSTOMER APPLICATION FORM

Telephone No

Telephone No

Stock

What do you intend to stock?

Stock

Which other brands do you intend to stock or currently stock?

2. Payment Details
Approximate amount of purchases per month
If the billing address is different from the site address, please state below:

Please provide details of Accounts department contact details:

Telephone No

Fax No

Contact Name

Email Address

Trade References or if NOT available Professional References (Solicitors and

Accountant.)

3. Give Two current references - (Minimum 12 months trading on a credit

account, must be fashion industry suppliers)
1
2

Telephone No

Telephone No

Email

Email

Seraphine Ltd, Newlands House, 4th Floor 40 Berners Street W1T 3NA, LONDON
T: 020 7472 0217
Company number: 04406761
Vat No: GB 795948743

CUSTOMER APPLICATION FORM

4. Bank Details
Bankers:

Account Number:

Address:

Sort Code:

IBAN:
Post Code:

SWIFT:

I/ We believe that the information given above to be full and correct.

I/we give Seraphine permission to take up all necessary references in
processing this application.
Please note that granting an Account does not constitute a Credit facility and
until such date that full credit relationship is established (Minimum Six Months)
all invoices must be paid upfront.
Please also note that your initial order should not be less than
2,000/2,000/$2,000.

Signing this form indicate adherence to Seraphine Terms of

Business attached.
Signed by authorised person in the Company: Are you a bank
signatory (Yes/No)
Signed
Position

Name Block (In Capitals)

Date

Seraphine Ltd, Newlands House, 4th Floor 40 Berners Street W1T 3NA, LONDON
T: 020 7472 0217
Company number: 04406761
Vat No: GB 795948743