Credit Account Form

Credit Account Request Form

Name of company or trade name

Business Type

Company Reg. No

Description of Trade

How Long Traded

VAT Reg. No.

Buyer Contact

Delivery Contact

Accounts Contact

Trading Address (all applicants)

Trading Address

Post Code

Tel. No.

Fax. No.

E-mail

Delivery Address Data (all applicants)

Same as trading address

Delivery Address

Post Code

Tel. No.

Fax. No.

E-mail

Delivery Times

Earliest

Latest

Days Closed

Special Delivery Instructions

Trade References (must be completeted for credit accounts) #1

Name

Address

Tel. No.

Email address

Trade References (must be completeted for credit accounts) #2

Name

Address

Tel. No.

Email address

Credit Limit Requested (all applicants). I/We apply for a trading account to be opened and confirm we accept the terms and conditions shown overleaf:

Authorised Signatory

Print Name

Terms and Conditions

Terms Net 15 Days – all invoices to be paid by customer at end of month month.

Title over Goods - Title to all goods will remain vested in MNA PAC Limited until all amounts outstanding from us on any account have been paid in full by the customer

Terms & Conditions - Customer has read, understood and retained a copy of the Terms & Conditions of MNA PAC Limited, and agrees to trade in accordance with these for any goods supplied.

Credit Account Form

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