WOULD YOU PLEASE WRITE IN CAPITALS AND FAX TO 01202 855000

J & J Plants

APPLICATION FOR CREDIT ACCOUNT

COMPANY DETAILS

Full Name of Applicant: *
Company Name: *
Invoice Address: *
Country: County: *
Delivery Address:
Tel. No: Fax No: *
E-mail: Website: *

Ltd / Plc Partnership Private Company / Sole Trader

1-If Limited Company or Public Limited Company:

Address of registered office: *

Vat Registration No: *

Year of Incorporation: Company Reg. No: *

2-If Partnership, give full name(s), private address/es and tel.no. of all partners:

a)

Tel No:

Tel No:

3-If Private Company / Sole Trader:

Christian Name: Surname: Initials: *

Tel No: Mobile: *

Home address: *

Date of birth: *

Are you registered at this address: i.e. on Electoral Roll?: Yes No *

Have you ever been involved in any Bankruptcy? Yes No *

How long have you been trading from the above address? Years / Months *

Previous address if less then 3 years: *

Date commenced trading: Annual Sales: p / a *
No. of employees:
Your Banker s name: *

Address: *

Account No: Sort code: *

Swift code: IBAN: *

Contact Name of Buyer: *

Tel No: Ext No: *

Email: Mobile: *

Contact Name at Account dep: *

Tel No: Ext No: *

Email: Mobile: *

REFERENCES

Name & Tel. No of 2 principal suppliers:

1) *

Value of annual purchases: *

2) *

Value of annual purchases: *

Please state maximum credit required: *

Payments: All invoices are payable in accordance with credit terms agreed.

Claims: Notification of credit claims must be made within 24 hours with full box details.

Delivery: If a costumer has no representative on hand at the time of delivery, or a signature is not offered, it is understood that the delivery is accepted.

Date: *Signed:

Full Name: *

Position: Director / Owner: *