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Account Number

e.g. 01012008

References

Please read our Conditions of sale click here

I/we authorise you to take up references at any time from the under mentioned bank and trade sources. We may also make searches with a credit reference agency, which will keep a record of those searches and may share that information with other businesses. We may also make enquiries about the principal directors with a credit reference agency.

I/we have read, understood and retained a copy of your conditions of sale including the retention of title clause) and agree to trade in accordance with these for any goods supplied. We accept that title to all goods supplied to us will remain vested in Epoxy Products Ltd.  until all amounts outstanding from us on any account have been paid in full to Epoxy Products Ltd.

I/we also agree to comply with your settlement terms (specified within the conditions of sale).

Name                           

Position                                     

Date       

Your Company name

VAT Number

Trading style

Address 2

Town/City

Company name

Directors names

Company number

Trading style

Company name

Address

Address (continued)

Town/City

County

Postcode

Telephone

Telephone

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Application for a credit account

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© 2006 EPOXY PRODUCTS LIMITED

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