Credit Account Application Form

ALL APPLICANTS

Company Name

Trading Name (if different)

Address 1

Address 2

Address 3

Town

County

Country

Postcode

Telephone

Fax

VAT Registration number

Website

If Limited Company / PLC:

Company Registration No:

Date of Incorporation

Registered Office Address (if different)

If Sole Trader or Partnership:

Owner/Partner Name

Address

ALL APPLICANTS

Accounts Contact (with authority to make payment)

Telephone No

Fax No

Email Address

Position within Company

Credit Limit Required (£s; per Month)

BANKERS DETAILS

Name

Account Number

Sort Code

TRADE REFERENCES

Please give the names and addresses of TWO trade references to which an application can be made. On occasion we will make a search with a credit reference agency, which will keep a record of that search and will share that Information with other businesses. We may also make enquiries about principal directors with a credit agency.

Reference 1 Business Name

Address

Telephone No

Fax No

Reference 1 Contact Name

Reference 1 Business Name

Address

Telephone No

Fax No

Reference 1 Contact Name

TERMS & CONDITIONS

Settlement Terms: 30 days (i.e. Goods must be paid for by the end of the month following The Month of Invoice

Credit will be given subject to status following checks with credit reference agencies

Collins Fresh Produce reserves the right to withdraw credit facilities at any time.

Goods will remain the property of Collins Fresh Produce until paid for in full.

All claims for allowances or credits on invoices must be made within 24 hours.

Delivery times quoted are estimates only and any failure to comply will not constitute any breach of contract.

I/We acknowledge and accept the companies terms of business and understand that should credit facilities be afforded to me/us the above terms must be adhered to at all times.

Signature

Print Signature

Position

On behalf of

I Agree to T&C's Read terms & conditions