Company Name: (Full Legal Title and Trading Name)
Company Reg No
VAT Number
Number / Name
Street
Town / City
County
Postcode
Telephone
Business Type: (What your business does)
Payment Method BACS CHAPS Credit Card We do NOT accept cheques
I/We request you to open a Credit Account in the name of:
With a proposed credit limit of per month
Name
Position
Email
Full Name
Date
Please attached a Word Document of your letter head