Credit Account Application Form Step 1 of 6 16% * Indicates Required FieldName of Applicant* First Last Name of Business* Job Designation* Email* Please answer the questions below:Has your firm traded with VT Solutions before?* Yes No When did you first trade with VT Solutions? Do you currently have a cash or credit account with VT Solutions?* Cash Credit None What do you intend to purchase from VT Solutions?* IT Hardware & Peripherals IT Software & Licenses IT Diagnostics & Repair Services IT Managed Services IT Consultancy Services IT Installations & After-Sale Support DR Services Cabling Products Cyber Security Support Services Networking Support Services Cabling Installations & Services CCTV & Premises Security Products Other How much do you intend to spend monthly with VT Solutions?* What monthly credit limit do you wish to set on your account?*$1000$2000$3000$4000$5000$6000$7000$8000$9000$10000$10000 plusPlease indicate the value (up to the maximum monthly spend you intend to make): Please provide details of your business or organisation:Registered Name of Business* Type of Business*Sole TraderPartnershipPrivate CompanyPublic CompanyTrusteeNGOGovernmentOtherBusiness Registration Number* Date of Incorporation*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Business Tax ID Number* Business Phone Number*Email Address for Business Correspondences* Email Address for Invoicing* Business Website Business Physical Address* Address Line 1 Address Line 2 City State ZIP Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is the Business Postal Address same as Business Physical Address?* Yes No Business Postal Address* Please provide details of the directors or owner(s) of your business who will act as guarator(s) for your credit:Name of Director 1 & Guarantor 1* Designation of Director 1* Email Address of Director 1* Name of Director 2 & Guarantor 2* Designation of Director 2* Email Address of Director 2* Please provide below details of 3 other businesses that can provide references of your trading history with them:Name of Business 1* Email Address of Business 1* Name of Business 2* Email Address of Business 2* Name of Business 3* Email Address of Business 3* Terms of Payment:Select your preferred term of payment:* 7 Days 14 Days 21 Days 30 Days Please read our Terms of Trade (click here) before you submit this:I have read VT Solutions's Terms of Trade and hereby declare* I understand and agree to the Terms of Trade with VT Solutions I understand and have further queries on the Terms of Trade with VT Solutions I understand and do not accept the Terms of Trade with VT Solutions Spam ProtectionPhoneThis field is for validation purposes and should be left unchanged.
