Credit Application Form

Please complete all sections of this form to prevent any delays in processing.

ACCOUNT DETAILS (if you have an existing Insight account)
Account Number
Name of Insight Account Executive
 
BUSINESS DETAILS
Company Name *
Business Type *





Company Registration No *
VAT Registration No
Registered Office Address *
Office Address Line 2
Office Address City
Office Address Postcode *
Registered Office Country *
Telephone Number (Fixed Line) *
Fax Number *
Website Address
Delivery Address
Line of Business
Parent Company (if applicable)
Parent Company Reg no
Number of Employees
Number of PCs
Annual UK Turnover
Annual IT Spend
Estimated Annual Spend with Insight
Bank Name
Sort Code
Account Number
 
INVOICING DETAILS
Invoice Contact Name *
Invoice Address *
Invoice Address Line 2
Invoice Postcode *
Invoice Country *
Accounts Payable Contact Name
Accounts Payable Contact Telephone
Accounts Payable Fax
Accounts Payable Email Address
 
CONFIRMATION
required field *
Name of person submitting this application *
Position in the company *
required field *
* = required field