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Application for Credit Account
Please complete all sections, in order that your application and be approved and agreed with minimum of delay. By completing this form you are agreeing to the
Terms and Conditions
.
Full Name and / or
Trading Style
Address
Telephone No.
Business Registration Number
No. of years in Business
Name of Partners/Directors
Trade References
Name
Name
Address
Address
Telephone No.
Telephone No.
Applicant
Applicants Name
Position in Company
Nature of Business
Monthly Credit Limit
Credit Account Terms & Conditions
I agree to these terms and conditions
All invoices are to be paid by the end of the month following purchase/service i.e 30 days.
Any charges incurred on the account i.e Refer Drawer cheques or the collection of debts will be charges to you.
We reserve the right to suspend or cancel credit facilities should the above terms not be adhered to.
Goods supplied remain the property of the Vendor until payment is received and the cheques cleared.
We also reserve the right to charge interest on overdue accounts.
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Medicine Measuring Cup With Black Graduations (60ml)
Disposable Emergency Foil Blanket
Disposable Pulp Male Urinal (875ml)
Small Radar Key for disabled toilets
Wide Head Easy Turn Radar Keys for disabled toilets
Disposable Bed Pads 60x90 (1500ml)
Disposable Pulp Bed Pan Liner
Disposable Instant Ice Pack
Heavy duty walking stick ferrule single (22mm)
Disposable Bed Pads 60x40 (700ml)
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