T : 0330 043 6488 E: Sales@CareSupplyHub.co.uk

Apply for a Credit Account

Please complete the form below and our team will get back to you shortly.

Business Information

Business name *

Company registration number *

VAT / Tax ID

Date business established

Number of employees

Contact Details

Contact name *

Email *

Phone number *

Address Details

Billing address *

Trading address (if different)

Credit Information

Requested credit limit *

Annual revenue

Additional notes