CREDIT APPLICATION

Further details

Credit Application Form

Please complete these further details so we can process your application.

Name^*

Company or Organisation^*

Email^*

Telephone^*

Credit Amount Required^*

Accounts details

Accounts payable contact

Accounts email

Accounts Telephone

Invoice Address

Invoice Postcode

Purchasing details

Buyer Contact

Buyer Email

Buyer Telephone

Delivery details

Delivery Address

Delivery Postcode

Delivery Telephone

Delivery Email

Registered Name & Address

Registered Name

Company Registration Number

Registered Address

Names/Titles of Executives

date of Incorporation

Number of Employees

Trade References

Reference 1 Name

Reference 1 Email

Reference 1 Telephone

Reference 1 Address

Reference 1 Postcode

Reference 2 Name

Reference 2 Email

Reference 2 Telephone

Reference 2 Address

Reference 2 Postcode

Declaration

We apply for a Credit Account with Plastock (Abbey Distribution Ltd) subject to the Conditions of Sale (available upon request) and agree to honour your payment terms of Nett 30 days from Invoice date.^*PLEASE SELECT TO AGREE AND CONTINUE

Your Name (Digital signature)^*

Position^*

Date^*

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