ACHESON & GLOVER LTD BUSINESS CREDIT ACCOUNT APPLICATION

Fields marked with a * are required fields. Your application will be processed quicker if all details are filled in.

BUSINESS DETAILS
Name of Applicant:*
Trading As : *
Address: *
Postcode:*
Telephone: *
Fax No:
Email: *

BUSINESS DETAILS CONT.
Previous Address :
Company Registration No :
(required if a limited company)
Nature of Business: *
Contact Name for payment of account : *
Telephone number for payment of account: *

BUSINESS STATUS
Status: *	Limited Company
	Partnership
	Sole Trader
If Limited Company, please state
Address of registered office (if different from above)
Postcode

NAMES OF TWO PRINCIPAL DIRECTORS
Principal Director Name: *
Principal Director Name: *

DATE COMMENCED TRADING
Date commenced trading: *

TRADE REFERENCES - Three references to be supplied
One trade reference MUST be a manufacturer
Name*:
Address*:
Telephone*:

TRADE REFERENCES CONT.

Name:*
Address:*
Telephone:*

TRADE REFERENCES CONT.
Name:*
Address:*
Telephone:*

CREDIT LIMIT REQUIRED *

Please tick if you require order no. quoted

Please note that all our goods supplied are subject to a Reservation of Title clause, and that interest is chargeable on overdue accounts. Full details of standard terms and conditions are available here.

* I confirm that I have read and understand the Standard Terms & Conditions of Trading, and in consideration of you having agreed to supply goods to the above named Applicant, I hereby guarentee payment of any accounts due and agree to be bound by the terms of trading:

SIGNED *