Credit Application

1 Business Address

2 Invoice Address

3 Bank Details

4 References

5 Credit

Company Name
Company Reg No.
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Post Code
Email

Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Telephone No.
Email
Accounts Contact
Contact Telephone No.

Bank Name
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Account Name
Account No.

Trade Reference 1
Company Name
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Telephone No.
Email
Trade Reference 2
Company Name
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Telephone No.
Email

Amount of Credit you require
We hereby confirm that if we are given credit facilities,payment for services will be made in accordance with your terms & conditions which we understand to be 30 days from date of invoice unless agreed otherwise in writing.Trading may be suspended if the credit limit is exceeded.
Terms and Conditions
- Agree
- Disagree

Copyright 2015 all rights reserved Allied Lighting Ltd | Company Reg No 05762369 | VAT N0. 984282483