Application to open a credit account

Print, photocopy and either FAX Back or Return to ACT Meters Ltd.

* ENSURE ALL SECTIONS ARE COMPLETED

FAX : 01744 886661

I/We understand this application to open a Credit Account with: ACT METERS LTD.  I/We have read and accept your "Conditions of Business" and understand that your Credit Terms are tht payment is due promptly on the 20th of the month following the date of invoice and if granted credit, I/We agree to pay in accordance with these terms. DATE : ________________

PLEASE SIGN HERE : ____________________

PLEASE PRINT YOUR NAME HERE : ________________

COMPANY REGISTRATION NUMBER : _______________

 

REGISTERED OFFICE ADDRESS: (Ltd Companies) PRIVATE ADDRESS: (Unlimited Companies)
NAME AND BUSINESS ADDRESS : ______________ NAME AND ADDRESS : ______________________
__________________________________________ __________________________________________
__________________________________________ __________________________________________
POSTCODE : ___________ POSTCODE : ___________
STD TEL : _____________   FAX : ______________ STD TEL : _____________   FAX : ______________

NAME AND ADDRESS OF DIRECTORS OR PARTNERS

1: ______________________ 2: _____________________ 3: _____________________
________________________ _______________________ _______________________
________________________ _______________________ _______________________
POST CODE : ____________ POST CODE : ___________ POST CODE : ___________
STD TEL :______________ STD TEL :______________ STD TEL :______________
FAX :______________ FAX :______________ FAX :______________

HOW LONG BUSINESS ESTABLISHED : _____________


NATURE OF BUSINESS : _______________

HOW MUCH CREDIT REQUIRED ON AVERAGE PER MONTH : ________________________


PLEASE GIVE NAMES AND ADDRESSES OF 3 FIRMS SUPPLYING GOODS
ON CREDIT WHO CAN BE APPROACHED FOR REFERENCES:

1: ______________________ 2: _____________________ 3: _____________________
________________________ _______________________ _______________________
________________________ _______________________ _______________________
POST CODE : ____________ POST CODE : ___________ POST CODE : ___________
STD TEL :______________ STD TEL :______________ STD TEL :______________
FAX :______________ FAX :______________ FAX :______________

PLEASE GIVE NAME AND ADDRESS OF BANKERS :__________________________________________
____________________________________________________________________________________

POST CODE : ______________  STD TEL : _______________
ACCOUNT NUMBER : _____________________  SORT CODE : ________________

PLEASE ATTACH A COPY OF YOUR COMPANY LETTERHEAD TO THIS CREDIT APPLICATION.

FOR OFFICE USE ONLY

  REQUESTED    

RECEIVED
CREDIT LIMIT  : £________________ BANK REFERENCES: ___________________________ _________
DATE OPENED : ________________ TRADE REF 1:_________________________________ _________
ACCOUNT NUMBER : ____________ TRADE REF 2:_________________________________ _________
Sales: +44 (0)1744 88 66 60
Fax: +44 (0)1744 88 66 61

Please click here for our Terms and Conditions