Customer Account Application

Company

Company name

Company registration number

Company VAT number

Years trading

Website address

Registered office address

Trading address

If different from above

Billing address

If different from above

Primary Contact

Name

Telephone number

Email address

Must be a valid email address

Billing Contact

Only required if different from above

Name

Telephone number

Email address

Must be a valid email address

Know Your Customer (KYC)

To comply with regulatory requirements and ensure the security of our services, we require the following Know Your Customer (KYC) documents for account verification

Please ensure the documents are clear, legible, and up to date.

Director Identification

Director identification requires the following items for one of the listed directors of the business:

A photo of the director holding their ID (passport or driving license)
A clear copy of the ID itself

Director & ID

Copy of ID

Files should be PNG, JPG or PDF format and should not exceed 10mb

Address Identifcation

Evidence of current business address (dated within the last 3 month), which clearly shows the company name and address. Any one of the following is acceptable:

Utility Bill
Bank Statement
Lease Document

Identification document

Files should be PNG, JPG or PDF format and should not exceed 10mb

Company Incorporation Certificate

Company incorporation certificate

Files should be PNG, JPG or PDF format and should not exceed 10mb

Trade Credit

If you do not require trade credit you can ignore this section

To apply for trade credit, you must authorise us to conduct a credit check on the company through credit reference agencies.

Credit limit requested

Trade Reference

Company name

Years trading with this company

Contact name

Contact position

Telephone number

F-GAS Regulation

If you do not require F-GAS regulated products you can ignore this section

We are committed to environmental responsibility and compliance with F-GAS legislation. Our products, which include refrigerants, are subject to these regulations due to their potential impact on global warming. As part of our dedication to sustainability and legal adherence, we require confirmation of F-GAS registration if you intend to purchase regulated products.

F-GAS number

F-GAS certificate

Files should be PNG, JPG or PDF format and should not exceed 10mb

By submitting this application, I confirm that the information I have provided is true, accurate and complete to the best of my knowledge, and that I am duly authorised to act on behalf of the business I represent. I understand that any false or misleading information may result in our application being delayed or refused.

Future Life Sustainability Limited

Future Life, Suite 1a Station Court, High Road, Cookham, Maidenhead, SL6 9JF

Company No. 13697524 | VAT No. 419311318