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About this application

Credit provided by

Safelincs Ltd
33 West Street
LN13 9FX

Electronic Signature Required

Because this is an online application, you will not be able to provide a written signature. Selecting the signature checkbox at the bottom of this form will act as your signature.


We are dedicated to taking your privacy seriously. The details you submit here will only be used as part of your credit application and, if successful, the ongoing management of your credit account.

We do not send unsolicited marketing, sell, share with third-parties or use your data in any other way. View more information in our privacy policy.

Credit Account Support

If you have any questions about this application process, please contact us using the details below.

Accounts Department

If you have a query regarding your payment to your account, please contact our accounts department directly.

Customer Credit Account Application Form

Required fields are marked *

Bank Reference

Two Major Industrial Trade References

Note: this signature will be used in place of a traditional written signature. This form cannot be submitting unless you use this checkbox to act as your signature.


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