Business Contact Information
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Company name:
Phone:		E-mail:
Company Address:
City:		Country:
Zip Code:
VAT No:
Business Type		Partnership	Corporation
Business & Credit Information
Primary business address:
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Phone:		E-mail:
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Business / Trade References
Company name:
Address:
City:		Country:
Postal Code:
Phone:		E-mail:
Contact:
Company name:
Address:
City:		Country:
Postal Code:
Phone:		E-mail:
Contact:
Amount of Credit Required:
Office use Only
Amount of credit agreed:		Terms
Approved By
Agreement
1	All invoices are to be paid 30 days from the date of invoice.
2	Claims arising from invoices must be made within seven working days.
3	By submitting this application, you agree to abide by our Standard Trading Conditions.
Signature
Name & Date		Signature & Date

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