BLAGG & JOHNSON LIMITED
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Newark Business Park, Brunel Drive, Newark, Notts NG24 2EG

APPLICATION FOR CREDIT ACCOUNT FACILITIES

IMPORTANT: Please attach a sample of your current letter heading with this form. Please complete all sections, sign and return by post as banks will not accept faxed copies, photo copiesor e-mail copies
 

Page 1

1. Full Name or Company Trading Title :
2. Telephone Number (inc STD code) :
3. Accounting Address :

(address from which payments
will be made)
4. Invoices to be sent to :

( if same as accounting address, please state "As 3" )
5. If limited company -
Registered Office address :

( if same as accounting address, please state "As 3" )
     
continued ...















Page 2


6. If not a limited company - Name and address of proprietor(s) :(if insufficient space, please attach list)
Name :

Address;


7. Company Information

Company Reg. No:
Nature of Business:
No. of Employees :
 How long Established



8. Bank Details :

Sort Code:     Account no.



9. Is your company a member of a larger group? If so please give full name and address

Name :

Address;
continued ...









Page 3

10. Trade Referees

Please give names & addresses of two companies with whom you have a credit account and do
regular business.

Name :

Address;
Telephone;

Name :

Address;
Telephone;

I / We hereby request that an account be opened for me/us in accordance with the above particulars and on your terms and conditions, which I/we have read and accept.

I / we confirm that the account will be paid in accordance with your monthly settlement trading terms. Statements of Accounts are issued towards the middle of the month following the invoice. Settlement of any month's invoices is due by the 30th day of the following month, e.g. all June business is due for settlement by 30th July.

I / We acknowledge that all goods supplied remain the property of Blagg & Johnson Limited until they are paid for.

Monthly Credit Required: £  

Date:


Signed: .........................................................................

Position: