Credit Account Application Form

Credit Account Application Form

Please enter your company details in the form below to request a credit account with Anglia.
To help us process this request, please ensure all fields are completed.

Contact Name:		*
E-mail:		*
Telephone:		*
Fax:
Company:		*
Address:		*


City/Town:		*
State/County:		*
Country:		*
ZIP/Post Code:		*
Website URL:

Please select the job title most relevant to yourself.

What is your annual spend on electronic components?

Please indicate your company activity

Please indicate, by clicking on the box to the left, which of the following components you regularly use.

Batteries & Accessories Optoelectronics

Cables & Accessories Relays

Capacitors Resistors

Connectors Semiconductors

Fans Sensors

Frequency Solders

Fuses Sounders

Hardware Suppressors

Heatsinks Switches

Inductors Transformers

When you have completed your details, click on the 'Submit' button to send them to our Business Development team who will process your application. This may include a company, director, sole trader or partnership search with a credit reference agency. Any record of such a search will be covered by the Data Protection Act (1998).

An immediate credit account facility will be offered, subject to an acceptable credit rating.

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