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Account Application Form
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Account Application Form

Company Details

Company Name:
Trading As:
Trading Status: Plc Ltd Partnership Sole Proprietor

Trading Address:
Postcode:
Telephone:
Fax:
Email:
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Registered Address:
(if different)
Postcode:
Telephone:
Fax:
Email:

If you are a limited company, please complete this section.

Company Registration Number:
Number of Years Trading:
Directors Name(s)

Bank Details

Bank Name:
Address:
Account Number: Sort Code:

Trade References

First Reference

Company:
Address:
Postcode:
Telephone:
Fax:
Email:
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Second Reference

Company:
Address:
Postcode:
Telephone:
Fax:
Email:

Other Information

Sales Contact:
Accounts Contact:

Sign

Please read and submit only in acceptance of our terms and conditions as listed below.

Invoices must be strictly 30 days nett.
All discrepencies on invoices must be notified within ten days of invoice date.
Any goods received damaged must be notified on day of recipt.
Any goods received faulty must be notified before commissioning.
Name:
Position in Company: