Credit Account Application Address DetailsAddress DetailsApplicants Full NameInvoice Address Post CodeEmail AddressTel. NumberFax NumberDelivery address same as invoice?Delivery address same as invoice?YesNoDelivery AddressCompany DetailsCompany DetailsCompany NameCompany Registration NumberVAT Registration NumberEORI Reg Number (where applicable)Name(s) of Director(s) / Owner(s) / Partner(s)What year was the company founded?Type Of BusinessType Of BusinessSole TraderPartnershipCharityLimited Company (Ltd)Public Limited CompanyGovernment company (i.e. Local Authority)Nature Of BusinessNature Of BusinessGrowerRetailerWholesaleLocal AuthorityOtherPlease ExplainPayment DetailsPayment DetailsName of BankSort CodeAccount NumberLocal Bank Branch AddressPreferred Invoice CurrencyPreferred Invoice Currency£ GBP€ EURPurchase Order Required on Invoice?Purchase Order Required on Invoice?YesNoValue of Credit Limit Required? (in £'s)Trade ReferencesTrade ReferencesTrade Reference 1 (address and tel. number)Trade Reference 2 (address and tel. number)Trade Reference 1 EmailTrade Reference 2 EmailFinal InformationFinal InformationPlease sign and date the below to confirm you accept the following terms and conditions:Please sign and date the below to confirm you accept the following terms and conditions:I / We accept that any goods supplied will be in accordance with Kernock Park Plants Ltd "Conditions of Sale" - see link at base of this pageI / We accept that any goods supplied will be in accordance with Kernock Park Plants Ltd "Conditions of Sale" - see link at base of this pageFull nameDateSubmit
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