Credit Application Form
Full Name:.................................................................................................................... Address:....................................................................................................................... .................................................................................. Postcode:.................................. Tel No:.................................Fax No:.......................Co Reg No.................................. Name & Home Address if not Limited Company Name:........................................................................................................................... Address:....................................................................................................................... ................................................................................... Postcode:................................. Tel No:................................................ Fax No:........................................................
Name & Address of Holding Co./Registered Office (if different from above) Name:........................................................................................................................... Address:....................................................................................................................... .................................................................................... Postcode:............................... Bankers Name:............................................................ Sort Code:............................. Address:...................................................................... Account No:.......................... ........................................... Postcode:........................ Trade References. Name:.................................................... Address:................................................ .....................................Postcode:.......... Name:....................................................... Address:.................................................... .....................................Postcode:............. Account Name:.....................
Monthly Credit Limit Required £............................
Terms and Conditions of Credit Limit 1. Credit will not be granted until the application form is fully completed and returned, satisfactory references have been received and the application reviewed by Management. Payment for all goods or services supplied must be received within 14 days following the date of invoice. Failure to comply with these terms and conditions will mean suspension of Credit facilities and all outstanding amounts become payable immediately and any further transactions will be on a Cash basis only. Trax Express Systems Ltd. reserves the right to amend Credit facility terms and conditions at any time. We are aware and accept the conditions of carriage and agree to abide by them.
2. 3.
4. 5.
DECLARATION I/We have read the above terms and conditions and agree to comply therewith. Signed:....................................... Print Name........................………. Company Name........................................................................................ Date:...../....../...... _____________________________________________________________________ OFFICE USE ONLY Department:....................................... Originated by:.................................... Date received :.......................................................................................... Date Reference Letters Sent:..................................................................... References Received: Bank:..................................................................... Trade 1:................................................................. Trade 2:................................................................. Authorised by:.......................................................................................... Date:.............................................. Account No:........................
Confirmation Letter Sent:.........................................................................