Company information

Company name

If subsidiary/part of group of companies please state

Issued capital £

Company registration number

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Registered office address

Telephone number

Fax number

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Accounts department address (if different)

Telephone number

Fax number

...

Trading address (if different)

Telephone number

Fax number

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Trading Style (eg. PLC, limited, partnership, sole trader)

Nature of business

Date incorporated

Is there a debenture or any other prior charge on the company?

Yes No  *

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Contacts

Bought ledger

Name

Telephone number plus extention

Email

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Purchasing manager

Name

Telephone number plus extention

Email

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Trade references

Reference 1

Name

Address

Registered office address

Telephone number

Fax number

...

Reference 2

Name

Address

Telephone number

Fax number

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Banking information

Name

Name & address of bankers

Account number

Sort code

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Maximum Monthly Credit Required

£100 £250 £500 £1000 Other  *

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Agreement

In consideration of the granting of credit facilities I/we agree to the Quarndon Terms and Conditions of Sale and to make settlement of accounts by the end of the month following date of Invoice.

Agree  *

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Your name

Your email address

Your position

Today's Date

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