APPLICATION FOR ACCOUNT AND/OR CREDIT FACILITIES

IF YOU WISH TO APPLY FOR CREDIT FACILITIES, PLEASE FILL IN THE DETAILS BELOW FULL NAME / SOLE TRADERFULL ADDRESSHome address if sole traderADDRESS FOR INVOICE / STATEMENTS copy from left CREDIT REQUIREMENTPLEASE SUPPLY TRADE REFERENCE DETAILS(to whom application can be made)(to whom application can be made)I/WE UNDERSTAND THAT SHOULD CREDIT FACILITIES BE AFFORDED TO ME/US YOUR CONDITIONS OF SALE WILL APPLY TO ALL GOODS PURCHASED BY ME/US AND THAT THE CONDITIONS OF SALE REQUIRE SETTLEMENTS OF ACCOUNTS NOT LATER THAN ONE MONTH FROM THE LAST DAY OF THE MONTH OF THE INVOICE EXCEPT FOR SPECIAL CREDIT TERMS, AND THAT CREDIT FACILITIES ARE TERMINATED AUTOMATICALLY IF PAYMENT IS NOT MADE BY THE DUE DATE