BUSINESS CREDIT APPLICATION

BUSINESS INFORMATION AS REGISTERED

Field	Description
Company Name
Trading As(if applicable)
Registered Business Address
Address 1
Address 2
City
County
Country
Postcode
Date of business commencement
Company Registration Number
Company VAT Number
Credit Limit Required
Website

CONTACT INFORMATION

Field	Description
Primary Contact Name
Title
Phone
Email Address
Finance Contact Name
Title
Phone
Email Address
Other Contact Name
Title
Phone
Email Address

BANKING INFORMATION

Field	Description
Bank Name
Bank Address
Address 1
Address 2
City
County
Country
Postcode
Account Number
Sort Code
Swift/BIC number
IBAN

BUSINESS/TRADE REFERENCES

Please provide us with reference information from other companies your business has established credit with previously

Field	Description
Company Name
Contact Name
Title
Phone
Email Address
Registered Business Address
Address 1
Address 2
City
County
Country
Postcode
Comments

COMPANY REPRESENTATIVES

Field	Description
Signature(1)
Name
Title
Date
Signature(2)
Name
Title
Date

AGREEMENT

Agreement Details
1) All invoices are to be paid 30 days from the date of the invoice.
2) Claims arising from invoices must be made within seven working days.
3) By submitting this application, you authorise Kaztech Solutions Ltd to make inquiries into the banking and business/trade references that you have supplied.

Thank you for your business!