Credit Application Form

Credit Account Application Form

Full Trading Name(s):
Trading Address:
Telephone Number:
Fax Number:
Email:
Registered Office: (if different from above)
Year of Incorporation:
Company Number:
Banker:
Banker's Address:
Maximum credit required:	per month
Name of Managing Director/Partner:
Contact Name (ie your name):

The following questions are optional:

Will you use Purchase Order/Cost Centre Reference numbers?	Yes No
Should these be insisted on?	Yes No
Do you wish to restrict bookings to specified personnel?	Yes No
If so, please list names:
Do you wish to restrict use to specified staff?	Yes No
If so, please list names:
Which service(s) do you use?	Bikes Vans Saloon Cars Meet and Greet Executive Cars Overnight delivery 6/7 Seat Vehicles International delivery

PAYMENT TERMS 14 DAYS

DECLARATION BY CREDIT APPLICANT.

We hereby request that you open a credit account. I, being an authorised Officer of this business, do agree that all accounts issued to us will be paid in accordance with your terms and conditions.

LHR/QDell will confirm the opening of a credit account to the contact points above.

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