Dealer application form

Company name

Company email

Type of business Sole Trader Limited Company

Company registration number Limited companies only.

VAT registration number

Date trading commenced

Website

Facebook page

Twitter page

Office address

Building number/name

Street

Town/City

County

Country

Postcode/Zip

Primary contact

First name

Last name

Telephone

Mobile

Accounts contact

Name

Telephone

Mobile

Delivery address

Use main office address

Building number/name

Street

Town/City

County

Country

Postcode/Zip

Dealer account password Once approved you'll be given exclusive access to our dealers area. Please provide a password below that you'll use to login.

Pulse cinemas offer a credit facility to select dealers. If you wish to apply please select yes below and complete the form.

Do you wish to apply for a credit account?

Yes please

No thanks

Credit application form

Amount of credit requested

Bank details

We may request a credit reference from your bank from time to time, at which time we will ask you to sign a consent form. In the meantime, please enter your bank details below:

Name of bank

Address

Account no.

Sort code

Trade reference one

Company name

Account no.

Address

Telephone

Trade reference two

Company name

Account no.

Address

Telephone

Trade reference three

Company name

Account no.

Address

Telephone

We will also make searches with a credit reference agency. All business transacted is subject to our Terms of Trade which are enclosed.

Position within the company

Signature Please use your mouse or finger (touch screens) to add your signature in the box below.

Date

On behalf of (business or company name)