credit account application

Paralogic Ltd
CREDIT ACCOUNT APPLICATION
COMPANY INFORMATION
Company Nam e:
Company Reg. N o:
T elep hone N o.
Fax:
Count y
Post Cod e Code:
Trading address:
Cit y:
Email
Do you T r ade as a Limited Company
Cred it Limit Requir ed
Y/ N
*£
* Amounts O ver £1000 M ay Requir e Trade R efer ences
ACCOUNT S IN FORMATION
Accounts Cont act Name
T elep hone N o.
VAT Reg No.
Email
Fax:
BANK ACCOU NT DE TAILS
Name of bank
Addr ess:
Sort Code
/
/
Account Number
*T wo T rade R efer ences (Only r equired for Cred it Accounts Over £1000)
Company Nam e:
Cont act N ame
T elep hone N o.
Fax:
Count y
Post Cod e Code:
T elep hone N o.
Fax:
Count y
Post Cod e Code:
Trading address:
Cit y:
Company Nam e:
Cont act N ame
Trading address:
Cit y:
ACCEPTANCE O F T ERMS
I / W e have read t he P ar alogic Term s of Business (V 050 805) and under stand t he payment terms are 30 d ays from
date of invoice and the g oods rem ain t he propert y of Paralogic until p ayment has been received in full.
Sig nature of aut horised O fficial
Print Name
Date
P osition