Click here to download a printable account form Application for a credit account new If you are human, leave this field blank. About you and your business Company name * Trading name (if different from above) Date Established * Address 1 * Address 2 Address 3 Address 4 City * County Postcode * Phone * Email * Are you a... * Limited Company Sole Trader Partnership Homeowner Registered name * Registration no * Address of Registered Office * Do you have any other accounts with us? If yes please include name of account or account number * No Yes A/C name/number * Names and home addresses If directors/partners/proprietors/individual account application To be completed by proprietor, partner or director Director 1 Name * Same as above Home address * Postcode * Home Telephone * Mobile * Date of birth * Is there a second Director? Yes No To be completed by second proprietor or director Director 2 Name * Same as above Home address * Postcode * Home Telephone * Date of birth * Mobile Your contact information Contact 1 Same as above Name * Job Title * Administrator Accounts Estimator Buyer Foreman Site Manager Project Manager Quantity Surveyor Director/Owner Homeowner Phone * Mobile * Email * Contact 2 Same as above Name * Job Title * Administrator Accounts Estimator Buyer Foreman Site Manager Project Manager Quantity Surveyor Director/Owner Homeowner Phone * Mobile * Email * Your needs Please complete to help us understand your business requirements Does your business require order numbers or job references? If yes please specify * No Yes Order number Job ref Credit limit required * Number of employees The main MPH branch you intend to trade with Estimated monthly spend on materials What we need / Trade references Please provide names and addresses of two trade references for your business Company name 1 Address Postcode Phone Email Company name 2 Address Postcode Phone Email Banking details Please provide full details of your main account Bank name * Bank address * Postcode * Phone * Account number * Sort code * Please add your Sort Code number as a 6 number digit without any gaps How you heard of us Newspaper/magazine advertising Social media Google/search engine Leaflet Referral/recommendation Email Event/trade show Billboard Business category Bathroom/Kitchen Installer Building Contractor (Domestic) Building Contractor (Commercial) Carpenter Charities Decorator General Maintenance General Trades (e.g. Labourers) Groundworker/Civil Engineer Landscaper Self-Builder/Homeowner Loft Conversion Mechanical/Electrical Floor Screeder Plaster/Dry Liner Plumbing/Heating Engineer Property Developer Roofer Please select a minimum of one category that is most relevant to your business Trading terms and conditions By submitting this application form you accept that we will complete a credit check on the information you have provided above, which may include searches through credit reference agencies, who may record the search. You also accept our trading terms and conditions which can be found here. You will automatically receive invoices and statements by email. If you wish to opt out from receiving these electronically, a small charge will be made for posting these items to you (please check with us for current rate). If you would like to receive e-marketing updates, please indicate your preference: Events Exclusive discounts Product information We will never share your details with any other company or third parties. Please confirm that you have attached the following documents to this application - your account cannot be opened without them: * Copy of your trading letterhead Copy of recent utility bill as proof of trading address (gas, electricity, landline telephone bill etc) A member of staff has verified your address (e.g. against a driving licence) File Upload * Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Please check form is completed in full to avoid delay in processing. MPH staff name * If not applicable type N/A * I acknowledge the above information and I agree to be bound by these terms, and recognise that submission of this form constitutes a signature Name * Job Title * Date * Submit Skip back to main navigation
