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Credit Application


APPLICATION FOR COMMERCIAL CREDIT

Full Trading Name Of Applicant

Trading Address

Email Address

Phone Number

Fax Number

Company Registration Number


IF PARTNERSHIP, GIVE FULL NAMES AND PRIVATE ADDRESSES

Name

Address

Year Of Commencement

VAT Registration

Banker's Name

Banker's Address


NAME, ADDRESS & TELEPHONE OF 2 PRINCIPAL SUPPLIERS

Name 1

Phone Number 1

Address 1

Name 2

Phone Number 2

Address 2


We will make a search with a credit reference agency, which will keep a record of that search and will share that information with other businesses. We may also make enquiries about the principal directors with a credit reference agency.

DECLARATION BY CREDIT APPLICANT

We hereby request you to open a credit account, directors/partners declaration: I being an authorised officer of this business do agree that payment of all accounts will be received by you (our supplier) within your stated credit terms. I/We appreciate that adherence to this obligation is the essence of the contract between us.

Signed

Date


I agree to the terms & conditions (click here to view).

AsOne