ARKADIA
Arkadia Brands Ltd
Unit 1 Livsey Street, Rochdale OL16 1ST, UK
Business Information
Business Name
Trading Name
Address
City
Postcode
Country
Phone Number
Email Address
VAT Number
Company Registration No
Type of Business
Select
Retail Store
Online Retailer
Department Store
Boutique
Other
Years in Business
Addresses
Invoicing Address
Same as above / business address
Warehouse Address
Same as above / business address
Accounts / Invoice Details
Accounts Contact Name
Accounts Email
Accounts Phone
Credit Request
Credit Required
Credit Amount Required
Trade References
Company 1 Name
Company 1 Contact
Company 2 Name
Company 2 Contact
For Internal Use Only
Approved By
Credit Limit Approved
Notes
Terms & Authorisation
All goods remain the property of Arkadia Brands Ltd until paid in full.
Standard payment terms are 30 days from invoice date unless otherwise agreed.
Late payments may result in suspension of supply.
Arkadia Brands Ltd reserves the right to withdraw credit facilities at any time.
Any discrepancies must be reported within 7 days of delivery.
Goods are sold for resale only.
I confirm the information provided is accurate and I accept the terms above.
Electronic Signature (Type Name)
Print Name
Date
Submit Application
Download Form Data
Clear Form
This demo form is front-end only. Connect it to your email, CRM, or database workflow for live submissions.