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Application for Credit Account

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Customer Details

Company Name *

Address Line 1 *

Address Line 2 *

Postcode *

Business Type *

Registration Number

Registered Office Address and Postcode (if different from above)

Business Phone *

Business Fax

Email *

Purchasing Contact Name *

Purchasing Phone *

Accounts Contact Name *

Accounts Phone *

Trade References

Company 1

Company Name *

Contact *

Address and Postcode *

Phone *

Email *

Company 2

Company Name *

Contact *

Address and Postcode *

Phone *

Email *

Bank Details

Bank Name *

Branch *

Account Number *

Sort Code *

I hereby authorise Wiltshire Timber & Building Supplies Ltd to obtain references from the above, as and when appropriate. I agree to abide by the Terms and Conditions as set out by Wiltshire Timber & Building Supplies Ltd which include that all invoices are due to be paid within 30 days from the date of invoice, and that a Purchase Order must be given for services rendered.

Purchaser/Guarantor *

Position *

Date *

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Items ()

Product	Description	Product Code	Qty
	Product Name {{product.name}}	Product Code {{product.sku}}

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Details

Address

Notes

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Starting from

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Application for Credit Account

Customer Details

Trade References

Company 1

Company 2

Bank Details

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OPENING TIMES

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SERVICES

Application for Credit Account

Customer Details

Trade References

Company 1

Company 2

Bank Details

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