ANGLO ITALIAN OPTICAL LIMITED - CREDIT APPLICATION FORM
What is the name of your business?
(Full name or partnership or sole trader)
Is your business a
Company
Partnership
Sole Trader
TRADING NAME AND ADDRESS:
DELIVERY NAME AND ADDRESS:
(If different)
Postcode
Postcode
Tel
Tel
Fax
Fax
Email
Email
CONTACT NAME(S) -
PURCHASES/TECHNICAL
CONTACT NAME(S) -
ACCOUNTS
Email
Email
COMPANY REGISTRATION NO.
CREDIT REQUESTED:
£
HOME ADDRESS:
(For partnerships and sole traders only)
PARENT COMPANY NAME AND ADDRESS:
Postcode
Postcode
Tel
Tel
Fax
Fax
Email
Email
BANK REFERENCE:
Bank
Address:
Sort Code
Account
TRADE REFERENCE 1. NAME AND ADDRESS:
TRADE REFERENCE 2. NAME AND ADDRESS:
Postcode
Postcode
Tel
Tel
Fax
Fax
Email
Email
NAME
I confirm I have read and agree with the
terms and conditions
available on this site
POSITION
DATE