Account Application Form

Please choose one of the following:(Required)

Limited Company, Sole Trader, Partnership or PLC

Consumer

Company Name(Required)

Your Name(Required)

Please enter your full name (first name and last name).

Company Type(Required)

Principal Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Registration Number(Required)

If a limited company please enter your registration number, otherwise put N/A.

EORI Number

Economic Operators Registration and Identification number if applicable

If you are part of a buying group please enter this here:

Date of formation(Required)

This is the date the company was setup or if a sole trader or partnership, the date the entity began to trade.

Annual Company Turnover

Enter to nearest 10k

VAT Number (if registered)

Name of bankers(Required)

Main Contact Name(Required)

Phone Number(Required)

Email Address(Required)

Credit limit required(Required)

Project Reference (if known)

OMNIE Representative Name (if known)

Name of person submitting this request(Required)

Authorisation(Required)

I confirm I am authorised by the above party to apply for a credit application with OMNIE T/A Genuit UFH Limited

Terms and Conditions of Sale(Required)

You can view the terms an conditions of sale at www.omnie.co.uk/tc-business/

I confirm that I have read and understood the terms and conditions of sale

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