Credit Account Application Form

Company Details

Company Trading Name

Registered Name

Company Trading Address


Telephone Number

Registered Office Address


Telephone Number

Company Registration Number

Company VAT Number

Contact Details

Account's Contact

Buyer's Contact

Account's Telephone Number

Buyer's Telephone Number

Financial Controller's Contact

Financial Controller's Number

Email Address for Order Acknowledgements

Email Address for Invoices

Email Address for Statements

Email Address for Dispatch Notifications

Form Completed by

Job Title

Telephone Number

Email address

DSL Sales Contact

Please confirm your acceptance of DSL’s strictly 30 days NET (from date of invoice) payment terms, conditions of sale and of prompt payment as per agreed terms

If you desire alternative credit terms, you must specify your request below or your account will be set up with 30 days NET terms and your submission taken as acceptance of those terms

Please note, DSL accept payment by BACs or Credit Card, payment by cheque is no longer permitted due to processing times delaying shipments and received payments.

Your Name (*)

Your Email (*)

Phone Number (*)

Company Name

What best describes you? (*)
I’d like guidance from a product specialist to ensure I’m looking at the most suitable and cost-efficient product for my applicationI know exactly what I want and need a quotation

How did you find us? (Please be as descriptive as possible, it's really useful information!)

Additional comments: