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Highland Express - 7.5 tonne Delivery Lorry

Highland Express Credit Account Application Form

To apply for a credit account with Highland Express please fill out the form below. Required fields are marked with a red asterisk.

A Credit Account Application form can also be downloaded in PDF format to be filled out by hand. It can be posted back to us or scanned and emailed. The Credit Account Application Form can be downloaded here.

Company Name *:

Company Address *:

Company Postcode *:

Company Registration No *:

VAT No (if applicable):

Website address:

Number of Employees:

Main Telephone No *:

Main Contact *:

Main Contact's Title *:

Direct Telephone No *:

Mobile No:

Email *:

Finance Dept Address (if different to company address):

Finance Dept Postcode:

Finance Dept Contact:

Finance Dept Direct Telephone No:

Finance Dept Email:

If part of group, please provide the following information:

Group Name:

Group Address:

Group Postcode:

Group Registration No:

Group Business Address:

Group Business Postcode:

BANK DETAILS

Bank Name *:

Bank Address *:

Bank Postcode *:

Bank Account Name *:

Bank Account No *:

Bank Sort Code *:

For overseas companies, please provide your:

SWIFT Code:

IBAN No:

DECLARATION

I confirm that the details given are accurate and complete:

Name *:

Date *:

Please enter the 5 character, alphanumeric string below. This helps us to cut down on spam. Thank You.

Please feel free to contact Highland Express if you have an enquiry about any of our delivery or courier services or if you just need a quote. We will be more than happy to help.