Credit application

To be considered for a credit account, please complete this form in full. Acceptence is subject to a satisfactory credit check and references and may take 2-4 weeks until complete. Credit facilities will be available to customers when notified in writing by a director of Digital Plus Ltd. Until such notification, customers must continue to make payment on delivery of goods unless otherwise agreed in writing by a director of Digital Plus Ltd.

1. Company and contact details

Company name:

Company registered address:

Postcode:

Company reg number:

Company VAT number:

Company Trading address:

Postcode:

Company invoice address:
(if different from above)

Postcode:

Telephone number:

Fax number:

Contact name:

Email Address:

Account Department Contact:

Account dept email address:

Director / owner / partner names:

Contact secretary name:

2. Bank details

Bank name:

Bank address:

Postcode:

Bank account no:

Sort Code:

3. Referees

Referee 1 Business name:

Referee 1 address:

Postcode:

Telephone:

Email Address:

Referee 2 Business name:

Referee 2 address:

Postcode:

Telephone:

Email Address:

4. Declaration

Digital Signature:

Title / Position:

Full name:

Email Address:

Date:

I/We the undersigned confirm that we agree to the Terms & Conditions of this application. I/We also confirm that we are authorised to sign this document.

Credit application

1. Company and contact details

2. Bank details

3. Referees

4. Declaration

I/We the undersigned confirm that we agree to the Terms & Conditions of this application. I/We also confirm that we are authorised to sign this document.

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