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10 BOND AVENUE
BLETCHLEY
MILTON KEYNES
BUCKS MK1 1SW
TELEPHONE NO:- 01908 646666 FAX 01908 372229
APPLICATION FOR CREDIT ACCOUNT
TRADING NAME/SOLE TRADER ..
REGISTERED ADDRESS ..
..
COMPANY REGISTRATION NO ..
POSTCODE ... TELEPHONE NO ...
MOBILE NO . FAX NO .
E.MAIL ADDRESS ..
SALES CONTACT .. TEL NO .
ACCOUNTS CONTACT TEL NO .
TRADING ADDRESS (IF DIFFERENT FROM ABOVE)
...
NUMBER OF YEARS TRADING :
YEARS . MONTHS .
BANK DETAILS
NAME OF BANK .
ADDRESS
POSTCODE TEL NO
ACCOUNT NO ..
SORT CODE
DATE ACCOUNT OPENED
IF LESS THAN 12 MONTHS, DETAILS OF PREVIOUS BANK
NAME OF BANK .
ADDRESS .
.
POSTCODE TEL NO ..
TRADE REFERENCES
1.COMPANY NAME ........CONTACT..
COMPANY ADDRESS .
POSTCODE .
TEL NO FAX NO .
2. COMPANY NAME .. CONTACT
COMPANY ADDRESS
POSTCODE
TEL NO FAX NO ..
3. COMPANY NAME ............................................... CONTACT
COMPANY ADDRESS.
POSTCODE
TEL NO .. FAX NO .
THE FOREGOING STATEMENT HAS BEEN CAREFULLY READ BY THE UNDERSIGNED.AND IS TO MY/OUR KNOWLEDGE IN ALL RESPECTS COMPLETE AND ACCURATE.
AUTHORISED SIGNATURE .
FULL NAME .TITLE..
ADDITIONAL SIGNATURE (PARTNERSHIP).
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