CREDIT APPLICATION FORM
You will find below the details to be filled for an Account to be opened and for Credit Facilities to be granted
Your Trading / Business details
Trading Name
Please provide below the details of your Trading address (see below for Registered address and/or Invoicing address)
Building Name
Address (line 1)
Address (line 2)
Post / Zip Code
Town / City
Country / Province
Country
Tel. (General)
Fax (General)
E-Mail (General)
Web Site
Your Legal / Registration details
Is your Registered Name the same as your Trading Name ?
YES
NO
Registered Name
Country of Registration
Type of Company
Is your Registered Address the same as your Trading Address ?
YES
NO
Building Name
Address (line 1)
Address (line 2)
Post / Zip Code
Town / City
Country / Province
Country
Tel. (General)
Fax (General)
E-Mail (General)
Business Registration number
Place of Business Registration
VAT Registration number
Date of incorporation
Known Consignor ID number
Regulated Agent ID number
Account Consignor ID number
Details of your Director(s) / Manager(s)
Please complete the full details of the Directors of the Company / Manager of the Business below
Director / Manager (A)
Name
Position
Director / Manager (B)
Name
Position
Director / Manager (C)
Name
Position
Signature
The present Credit Application Form is signed for and on behalf of the Customer by
an authorized officer of the Customer
an authorized officer of the Customer
Name
Name
Position
Position
Place
Place
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