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Credit Protection Application

About the Business

Commercial Turnover

Please provide the following information based on commercial turnover only. This is to exclude any sales to the general public.

Now please provide the last previous three year’s trading figures :


Month/Year End Date
Turnover

Previous Year
£


2nd Prior Year
£


3rd Prior Year
£



Please provide us information about your top ten customers by the highest value of credit outstanding.



1
2
3
4
5
6
7
8
9
10
Invoice period
Date From - To
Total Value of Bad debts
Number of Bad debts
Largest Individual Debt In Value
Debtor Name & Company Registered Number of the largest loss

Additional Information

Is your business involved in any of the following?
Yes
No

Authority to share your information with our approved insurers


By ticking this box; you are confirming that you are a director within the company and you have gained the full permission of all other directors for your information to be passed on to one of our approved panel of insurers. You will also be providing them the authority to contact you directly to discuss the application.


Additional Marketing


From time to time we would like to contact you with details of other relevant products, offers & services. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you.


Post
Email
Phone
Text
Automated Call
If you prefer not to be contacted please tick this box