Credit Account

Credit Account

The fields marked with * are mandatory

Application for a credit account.

By completing this form you are agreeing to be bound by our trading terms a full copy of which is available upon request.

All invoices are due for payment 30 days from date of invoice.

You can download an application form here if you wish to submit it by regular mail

Your Company Details

Your Company Name:

Your Company trading address:

Your Company accounts or head office address:

Telephone number:

Fax number:

Email address:

How long has the company been trading:

Name of person responsible for purchase ledger:

Monthly Credit Required inc VAT:

1st Director or Partner Details, home address and telephone details are required:

2nd Director or Partner Details, home address and telephone details are required:

Trade References, please do not quote Lion or DJ Simons

Reference 1 company details:

Reference 1 Telephone:

Reference 1 Fax:

Reference 1 Email:

How many years have you traded with this company ?:

Reference 1 trade contact:

Reference 2 company details:

Reference 2 Telephone:

Reference 2 Fax:

Reference 2 Email:

How many years have you traded with this company ?:

Reference 2 trade contact:

Bank Details

Bank Name:

Bank Address:

Account Number:

Sort Code:

IBAN:

By checking this box you are agreeing to be bound by our trading terms a full copy of which is available upon request, you must check the box to agree.:

To ensure that a person, not an automated program, is filling this form, please enter the characters you see in this picture. All letters will be shown in their capitalized form. All reviews are checked before making public and IP address logged.

Mirror Hangers

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