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CUSTOMER CREDIT ACCOUNT APPLICATION FORM

Please supply the following information below and on the following page, sign and email this to admin@greenstat.co.uk

 

Company Name/Trading Name:

Invoice
Address

 

Delivery Address
(where different):

 

 

Purchase Contact

Payment (Finance) Contact

Name

 

Name

 

Tel No

 

Tel No

 
       

Email

 

Email

 

 

Company Details

VAT No

 

Company Reg. No.

 

Number of employees (please tick one of the following):

            1 to 10

            1 to 50

            1 to 100

            100 plus

Public or Private Sector

 

Trader Type:
(PLC/Limited Company/Sole Trader/Partnership)

 
         

 

  • Please read our full Terms and Conditions of Sale on our website. An account cannot be set up unless you agree to these terms by signing below.

The first order must be paid in full before dispatch.  Thereafter, a 30 day payment facility can be made available, after receipt of this signed document.  Please note that penalties of 2% per month plus admin costs may be charged on overdue accounts and/or accounts put on stop. 

Our preferred payment method is by electronic bank transfer, provided this transfer includes details of your customer account number or invoice number(s), or send a remittance advise by email to admin@greenstat.co.uk.  We cannot accept cheques.

Please note that all goods remain the property of this company until payment is made in full. We reserve the right to change any advertised price before you place an order.  We also reserve the right to refuse to supply goods.

 

Signature:                 Position:        

Name:                        Date:              

Tel No:                       Email:                       

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