Courtyard House,
West End Road,
High Wycombe
Buckinghamshire
HP11 2QB
Credit Account Application
Infinity Sales Representative:
Full Company Name:
Type of Organisation:
Ltd
Plc
Sole Trader
Partnership
LLP
Partners' Names:
Trading Address:
Tel:
Fax:
Co. Reg no.
VAT number:
Trading Since:
Year of incorporation:
Accounts contact:
Registered office:
(If Ltd Co)
Please specify addresses for invoices/statements to be sent to:
Invoice Address:
Trading
Registered
Other - Please send details
Statement Address:
Trading
Registered
Other - Please send details
Credit limit required:
Please supply details of 2 current suppliers that we can contact for references:
1) Name:
Address:
Tel:
Fax:
Contact:
2) Name:
Address:
Tel:
Fax:
Contact:
I confirm that the above given information is true at the time of writing. I have received Infinity Glass Ltd's terms and conditions and agree that all purchases from them will be governed by these terms, including payment terms of "nett monthly" To avoid confusion this term means payment is due on or before the last day of the month following month of invoice unless a variation has been agreed in writing. All transactions shall be governed by English Law.
I AGREE THAT UNDER THE DATA PROTECTION ACT 1998 THAT ALL INFORMATION SUPPLIED ON THIS FORM AND DETAILS OF OUR FUTURE TRADING RELATIONSHIP CAN BE SUPPLIED BY INFINITY GLASS LTD TO THEIR CREDIT INSURANCE COMPANY. THE CREDIT INSURANCE COMPANY MAY HOLD SUCH DATA FOR CREDIT RISK ASSESSMENT AND OTHER RELATED PURPOSES.
Signed:
Date:
Full Name:
Position:
For and on behalf of:
I accept terms and conditions of transaction:
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