PBM - Plastic Building Materials
Thursday, July 29
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Credit Application Form
Your Company Details
Firstname:
Title:
Company Name:
Address of registered office or head office:
Invoice address (if different from above):
Type of trade / occupation:
Amount of credit reqd:
Lastname:
Email:
Company Reg No:
(if Ltd. company)
Partnership?
Sole Trader?
Home address of signatory (if partnership or soletrader):
No. years established:
Contact name re: account queries
Trade references
Reference 1
Trade references (that exceed £5000 pa)
Telephone No.
Facsimile No.
E-mail (optional)
Reference 2
Account Details
Name of Bank
Branch address
Account Number
Sort code:
Telephone:
Facsimile:
If you have previously traded with our company under any other name, please give details in the space below.
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