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Credit account application - Fayers

Credit account application - Fayers

Credit account application -

Tel: 01767 310 672 Fax To: 01767 310 670 TRADING NAME (please attach copy letterhead or official order) LIMITED CO BRANCHES AT: 202-228 York Way, Kings Cross, London N7 9AZ Tel. 020 7697 3131 Fax. 020 7697 3111 15-17 Margaret Road, Barnet, Hertfordshire EN4 9NR Tel: 020 8370 6400 Fax: 020 8370 6444 Roding Lane, Buckhurst Hill, Essex IG9 6DR Tel: 020 8504 6625 Fax: 020 8505 0626 CREDIT APPLICATION FORM YES / NO INVOICE OR STATEMENT ADDRESS REGISTERED OFFICE ADDRESS TRADING BRANCH POSTCODE POSTCODE CONTACT NAME TELEPHONE No. FAX No. TELEPHONE No. FAX No. LTD CO REGISTRATION No. DATE ESTABLISHED MOBILE No. PREVIOUS ADDRESS IF SUBSIDIARY Co. STATE NAME & REG. No. OF PARENT Co. POSTCODE ANY SPECIAL INSTRUCTIONS TYPE OF BUSINESS No. OF EMPLOYEES CAPITAL IF LTD Co: STATE AMOUNT ISSUED £ FULLY PAID £ DESCRIPTION OF BUSINESS PREMISES ARE THE PREMISES CREDIT LIMIT REQUESTED ANTICIPATED MONTHLY PURCHASES OWNED / RENTED ARE WRITTEN ORDERS REQUIRED £ YES / NO REFERENCES - BANKER’S REFERENCE - THREE TRADE REFERENCES £ HAVE YOU HAD AN ACCOUNT WITH US PREVIOUSLY IF YES, UNDER WHAT NAME TRADE REFERENCE No.1 TRADE REFERENCE No.2 TRADE REFERENCE No.3 NAME NAME NAME ADDRESS ADDRESS ADDRESS TELEPHONE No. TELEPHONE No. TELEPHONE No. ACCOUNT REF ACCOUNT REF ACCOUNT REF BANK REFERENCE ENTER FULL NAMES & HOME ADDRESS OF DIRECTOR’S & PARTNERS NAME NAME NAME ADDRESS ADDRESS ADDRESS TELEPHONE No. SORT CODE ACCOUNT No. POSTCODE POSTCODE B A C S TELEPHONE No. TELEPHONE No. If credit facilities are granted, I / we undertake to adhere to your Conditions of Business, as shown overleaf, which we fully understand and agree thereto, and to settle my / our account on or before the last day of the month following that in which the goods were invoiced. I / we confirm that the above information is to the best of our knowledge true and correct. SIGNATURE .......................................................... PRINT NAME ................................ DIRECTOR / PARTNER ................................................. DATE ................................... Fayers Plumbing & Building Supplies Limited Company Registration No. 00187552

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