Apply for Credit

Please enter the name, email address and position within the company of the person completing this application.

Any questions relating to this application will be sent to this person, plus confirmation that the account has been approved.

Applicant Name*

Applicant Email*

Position*

Your company name, registered address and company registration number should match those registered at companies house.

If your company is part of a larger company or group, please provide the holding company address.

VAT Exempt? If your company is exempt from paying VAT you will be asked to provide proof of this when your application is approved.

Company Name*

Registered Business Address*

Invoice Address*

Phone Number*

Company Registration Number*

VAT Number

VAT Exempt

Trading Years*

Holding Company*

Trade Reference 1

Trade Reference 2

Limit Required*

Accounts Contact*

Accounts Email*

Invoice Email*

Current point of contact at Connectix*

Please let us know who at Connectix referred you to the credit application form.

How did you find out about Connectix

Terms and Conditions*

I agree to abide by the Connectix Limited terms and conditions of sale and pay approved invoices 30 days from the date of invoice.