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Credit Account Application Form

Credit Account Application Form

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* Business Name

* Registered Address

* Post Code

* Telephone Number


Fax Number

* Anticipated Monthly Spend

Web Site

* Trading Title (LTD, Partnership etc.)

Company Registration Number

Date of Incorporation (If Limited Company)

Date Commenced Trading (If Not Limited)

Invoice Address (If Different From Above)

Post Code

EORI no

Contact Information

Directors

Name (Director 1)

Direct/Mobile No. (Director 1)

Email Address (Director 1)


Name (Director 2)

Direct/Mobile No. (Director 2)

Email Address (Director 2)

Purchasing

* Name (Purchasing)

* Direct/Mobile No. (Purchasing)

* Email Address (Purchasing)

Invoices

* Name (Invoices)

* Direct/Mobile No. (Invoices)

* Email Address (Invoices)

Statements

* Name (Statements)

* Direct/Mobile No. (Statements)

* Email Address (Statements)

* Form Completed By

* Job Title

* Contact Number

* Date

By submitting this form you agree to abide by Partex Marking Systems (UK) Ltd's Terms and Conditions of Sale. A copy of which is available upon request.

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