Application For  Credit Account

Company  Name : __________________________________________

Address : _________________________________________________

                _________________________________________________

Postcode :__________ Tel No :  _____________ Fax No :___________

Limited Company Directors Names: ____________________________                  

Company Reg No: ______________ Date of Registration : __________

VAT Reg No: __________________

If Partnership or Subsidiary Please Supply Name and Address of all Partners
and Subsidiary Company:

__________________________________________________________

__________________________________________________________

Bank Details:________________________________________________

Address :      ________________________________________________

Sort Code :   __________________ Account No:____________________

Trade Reference  1: ___________________________________________

___________________________________________________________

Trade Reference 2:_____________________________________________

___________________________________________________________

Monthly credit  Required :  £_____________

Signed ;___________________  Print Name:                                

Position : _______________ Date:                                               

PLEASE SUPPLY SAMPLE OF ONE OF THE FOLLOWING:
LETTERHEAD/ORDER OR BUSINESS CARD

NB: Under the late payment legislation of November 2002 we will charge interest at the appropriate rate on all overdue accounts.