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Credit Application Form

Details of Applicant

Contacts Placing Orders

Accounts Information
Please declare any special purchase conditions ie. Conditions, Procedures, Purchase Order Numbers etc.

Accounts Address if different from trading address

Amount of Credit Requested

If Not a Limited Company

Please give us Full Names (not Initials) and home address of Proprietor or Partners

Bank Details

Trade References


I hereby request you to open a credit account. I/we confirm that I have read and understood your “terms and conditions” of business and agree that they will apply and govern the supply of services to us/me. I note and accept in particular that your “terms & Conditions” provide for payment within 30 days from the date of your invoice.