Credit application form

Please ensure that this form is completed fully and accurately

Company Details
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or manually enter your address

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or manually enter your address

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REFERENCES - NAME, ADDRESS, TEL/FAX No OF 2 PRINCIPAL SUPPLIERS (Excluding Airline Accounts). PLEASE GIVE NAME AND EMAIL ADDRESS OF CONTACT PERSON
Reference a)

Reference b)

Company Name: *

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Address Line 1:

Address Line 2:

City/County:

Postcode:

Telephone Number: *

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Contact Name:

Email: *

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Approx Annual Buy Value: *

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PLEASE STATE CREDIT REQUESTED FROM US
Amount:

Terms:

Export freight:

Import freight:

Other:

30 days

30 days

N/A

PLEASE PROVIDE PROJECTED VOLUME OF SHIPMENTS PER MONTH
Import:

Export:

Air freight:

Sea freight:

Road freight:

ACCOUNTS ADMINISTRATION

Contact for prompt account payment: *

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Contact to send monthly statements: *

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Contact to send invoices: *

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PLEASE NOTE ALL PAYMENTS ARE TO BE MADE BY BANK TRANSFER
DIRECT REPRESENTATION AUTHORISATION FOR CUSTOMS CLEARANCE

We appoint Unsworth to act on behalf of our organisation in the capacity of a Direct Representative in accordance with Articles 18 and 19 of Regulation (EU) No. 952/2013. This authorisation is applicable to all consignments arriving or departing from the UK. This Appointment applies with effect from the date of signature until revoked by our organisation.

We authorise Unsworth to delegate customs clearance to sub agents as a Direct Representative of the declarant in all dealings with HMRC where circumstances necessitate.

We authorise Unsworth to declare goods to HMRC using our Deferment Approval Number and VAT number provided above in the "Company Details" section

Note: In accordance with the Union Customs Code, a Direct representative acts in the name of and on behalf of another person. In relation to import/export declarations, the importer/exporter will be liable for any customs debt arising from the declaration

DECLARATION BY CREDIT APPLICANT

We, the undersigned, hereby apply for Credit Facilities in respect of Freight or other charges. We understand and agree that all business undertaken is subject to the current Standard Trading Conditions of the British International Freight Association (latest Version).

Go to downloads/bifastc.pdf to view.

We understand that it is our responsibility to ensure that goods are covered by Marine Insurance. We further undertake to pay any invoices raised within terms of 30 days from end of month and acknowledge that late payment renders us liable to surcharge levied at 1% per month or part thereof, together with any consequent demurrage charges in the event of cargo being delayed.

I confirm I have the authority to sign on behalf my organisation

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By checking this box you are signing this document and your ip address has been logged *