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Credit Application Form

Credit Application Form

"*" indicates required fields

Legal Name*

Trading Name*

Trading Address*

Invoicing Address*

Trading Telephone Number*

Invoicing Telephone Number*

Trading Fax Number*

Invoicing Fax Number*

Registered Office Address*

VAT Registration Number*

Company Registration Number*

Date of Incorporation*

Directors*

Purchasing Manager*

Accounts Payable Contact Name*

Accounts Payable Telephone*

Authorised Signatories*

Currency to be Charged*

Credit Limit Requested*

Bank Details

Bank Name*

Bank Address*

Sort Code*

Account Number*

Account Name*

Bank Telephone*

Parent Company / Subsidiaries*

Trade Reference*

Trade Reference Telephone*

Please read our Terms and Conditions of Sale before signing this form.

By signing and submitting this form, you confirm that you accept our Conditions of Sale and the applicable payment terms.

Signature*

Position in Company*

Date*

Email Address*

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Credit Application Form

Credit Application Form

Bank Details

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