COMPANY DETAILS
COMPANY NAME: _______________________________________________________________________
TRADING ADDRESS: _______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
TELEPHONE NO: ____________________________ FAX NO: _________________________
COMPANY REG. NO: _______________________ DATE TRADING COMMENCED: ___________________
REGISTERED OFFICE:_______________________________________________________________________
_______________________________________________________________________
CREDIT REQUESTED: _______________________________________________________________________
BANK DETAILS
BANK NAME: _______________________________________________________________________
BRANCH ADDRESS: _______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
ACCOUNT NUMBER: ______________________________ SORT CODE: ________________________
TRADE REFERENCE 1:_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
TRADE REFERENCE 2:_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
| 