Camp Steel Company

Telephone : 0121 772 7821

Application for Credit Account

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Fax : 0121 771 0435

Partnership / Sole Proprietor

Full Name or Company Trading Title and Accounting Address

Name of Sole Proprietor or Partner No.1

Home address of Sole Proprietor or Partner No.1

Accounts Contact

Name: Email:

Partner No.2 (if applicable)

Tel No. Fax No.

Home address of Partner No.2 (if applicable)

Sales Contact

Name: Email: Tel No. Fax No.

VAT Registration No.

Company Registration No.

How long Established

Number of Employees

Delivery address (if different to accounting address)

Do you factor your debts? Nature of Business

YES / NO

Is your company a member of a larger Group? If Yes - state group

Bank Details: Name:

Sort Code:

/

/

Account Number:

Trade References - Please give Names, Addresses,Telephone and Fax Numbers of two companies with whom you have a current credit account and trade with regularly, preferably steel suppliers. Name: Address:

Name: Address:

Postcode: Tel: Fax:

Postcode: Tel: Fax:

As a partner / proprietor I confirm that the above information is correct at the time of applying for a credit account with Camp Steel Company and I give you the authority to apply to the Bankers and two trade references for references. I also confirm that I agree the account will be paid in accordance with the normal terms agreed with Camp Steel Company and agree that all orders given to Camp Steel Company will be subject to the Camp Steel Company conditions of sale.

Total Credit Requested: £ .............................. Date: ......................... Signed: ...................................................... Position : ............................................................ Name : ........................................................................................ Block Capitals Please Block Capitals Please PRINTED FROM WEBSITE