Full Trading Name:
Registered Office Address 1:
VAT Registration No.
Year of Incorporation:
Company Registration No.
Please state credit limit required:
Name of your Managing Director or Senior Partner:
Name of person responsible for paying account on time:
I have read the terms and conditions of sale.
I, being an authorised Officer of this business, do agree to adhere to those terms and conditions and that payments of all accounts will be received by you (our Supplier) within your stated credit terms. (30 days from the end of month of invoice)