CREDIT ACCOUNT APPLICATION FORM.
Company Name:

Trading Name:

Address1:

Address2:

City:

Post Code:

 Phone:
 Fax:
 E-Mail Address:

Nature of Business:

No' of years Trading:

 Amount of Credit:
£

Principal Partners:
1.


2.

Position:
1.


2.

Reference 1:
Name:


Address:

Tel:

Reference 2:
Name:


Address:

Tel:

Bank Details

Bank:
Address:

Tel:








I/We authorize Oak Taxis  t/a Blue Bell Private hire to conduct a personal investigation as may be considered necessary and we also authorize any credit reference agency to supply such information as may be required.
We acknowledge overdue accounts are subject to a service charge of 2% per month. Admin  charges are 15% per invoice

I am an authorized representative of the company named above.

Print Name:

   Date:

Please Print this form out and fax it to

0151 480 1888

 

 


BlueBellServices@btclick.com

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Last modified: 01/04/02