Credit Application

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1. Your details Your name eMail address Telephone number Fax number

2. Company details Trading name Position in company Trading address Post Code Company registration number VAT registration number

3. Payment Person responsible for authorising payment Address of accounts department If different than previous, add below Name of bank Address of bank

4. Trade Referees Name of First Trade Referee Address of First Trade Referee Account Number / Reference Name of Second Trade Referee Address of Second Trade Referee Account Number / Reference

5. Final details Maximum Monthly Credit Required Comments / Questions