Account Application Form 150210 Short
description
Transcript of Account Application Form 150210 Short
1 of 1 homeArama Account Application Form
PLEASE RETURN TO [email protected]/02/2015 08:11
Signed Date
Contact
Post Code Post Code
I/We hereby request you to open a credit account and by signing this agree: (1) To accept the Terms and Conditions of Sale of "The Company", a copy of which we
acknowledge we can freely request (2) To pay all undisputed amounts within 30 days following the date of invoice unless otherwise agreed in writing (3) That full
title in goods the remains with "The Company" until all due monies are paid. (4) To maintain published SRP's and to undertake not to discount unless previously
agreed with "The Company" (5) I/We also confirm that above information is correct and that neither I/We have been refused credit for whatsoever reason. I/We
confirm that we are duly authorised signatories.
Name(s)
MAIN EMAIL ADDRESS (please
note this is mandatory)
Contact
VAT NUMBER (please note this is
mandatory)
Tel No Tel No Tel No
Post Code
County County County
Address
Address
Address
Town Town Town
Contact
Street Street Street
Can you please give us 2 UK BASED Trade References for companies with whom you have traded for at least 1 year. If you
are a new company or have been trading for less than 12 months then please complete a 3rd Trade Reference
Supplier Supplier Supplier
Accounts
Warehouse
Buyer
Merchandiser
To enable us to ensure we are able to contact the correct person in the correct department could you please complete details below
Dept Contact Tel No Email Address
In the case of a Limited Company please provide the Names of ALL Directors and the Company Secretary below. In the case of a Sole Trader or Partnership please also provide the full
address of all parties involved. Without such information we cannot open a credit account nor can we trade with you on a pro-forma or other basis.
Position Name Address
Fax No
Account No
Sort Code
Your Full Ltd Company Name and
Trading As Name
Post Code
Have you or the company ever been
refused credit?YES / NO
County
Tel No
YES / NO
Town
Will you pay through the Bacs system YES / NOIf granted a Credit Account do you agree
to pay within 30 days of inv?YES / NO
Account
Name
Invoice
AddressBank Name
Street 2Bank
Address
Company
Reg No
Registered
Office
Years
Trading
Can you pay by Credit Card if so we
charge 2% handling fee
homeArama Ltd Cypher House Bampton Business Park South Bampton OX18 2AN T 01993 867075