Credit Account Application Form

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The following fields are required
APPLICATION FOR CREDIT
Source
From where did you hear about Abbeyhorn?
Company Details
Company Name
First line of Address
Second line of Address
Town/City
County
Country
Post Code
Telephone Number
Fax Number
Email Address
Website Address
VAT Number
Delivery Address (if different)
Company Name (if different):
First line of Delivery Address
Second line of Delivery Address
Delivery Address -Town/City
Delivery Address - Country
Delivery Address - Post Code
Delivery Address - Telephone Number
Accounts payable contact details
Name
Accounts Phone Number
Account Fax Number
Please supply two trading references (companies that you have an established credit history with)
Reference 1 - Name
Reference 1 - Address
Reference 1 - Post Code
Reference 1 - Telephone Number
Reference 1 - Fax Number
Reference 1 - Email Address
Reference 2 - Name
Reference 2 - Address
Reference 2 - Post Code
Reference 2 - Telephone Number
Reference 2 - Fax Number
Reference 2 - Email Address
In applying for credit facilities we agree to abide by the conditions of sale of Abbeyhorn Ltd,
and in particular we agree to the payment terms of strictly net 30 days
Name
Position
By clicking the submit button I agree to the information above is correct.