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Credit Application Form

Contact Details

Contact Name:

Contact Email:

Business Details

Company Name:

Trading Name (if different):

Trading Address:

Primary Telephone:

Primary Fax:

Company Registration No:

Company Registered Address:

Accounting Details

VAT No:

Accounts Dept Contact Name:

Accounts Dept Email Address:

Accounts Dept Telephone No:

Sales Dept Email Address:

Credit limit required (£):

Bank Details

Bankers:

Bank Branch Address:

Sort Code:

Account Number:

Trade Reference #1

Name:

Address:

Tel:

Fax:

Email:

Contact:

Trade Reference #2

Name:

Address:

Tel:

Fax:

Email:

Contact:

Authorised Signiture

Signatory Name:

Date:

Submit

**If your Company is not a “Limited Company” the names and addresses of all proprietors or directors is required on company headed paper for credit check purposes only. All information on this application will be treated as private and confidential.

On approval of your application, orders will be subject to Argosy Components standard T&C’s which can be found here