# 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!