HMT GROUPAGE LTD

HMT GROUPAGE LTD

CREDIT ACCOUNT APPLICATION FORM
YOUR DETAILS
Name/Full Trading Title:
Address:
Postcode:
Type of Company (i.e. Sole trader/Partnership/Ltd):
Name of Parent Company (if applicable):
Telephone Number:
Fax Number
Main Contact:
Company Reg. Number:
VAT Number
Years Trading:
BANK DETAILS
Bank Name & Address
Account Number:
Sort Code:
TRADE REFERENCE
Company Name:
Contact Name:
Email:
example@example.com
Company Name:
Contact:
Email:
example@example.com
ACCOUNTS INFORMATION
Accounts Payable Email:
example@example.com
Telephone:
Communication Preference: (For invoices)
ie email/post
Details required for Invoices: (ie PO required/self
HMT Group Conditions of Carriage
HMT Group Conditions of Storage
I have read and AGREE to the Conditions of Carriage and Conditions of Storage.
Please Note: All quotations offered and cargo carried under RHA (2009) conditions of carriage. All risks insurance will only be arranged at shippers written request and cost.

Credit Terms: 30 days Nett, payment due by the last day of the month following invoice date.
We wish to have credit facility with HMT Groupage Ltd and agree to the above payment terms.
Signed:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Print Name:
Position:
For payment by Bank Transfer our account details are as follows:

Bank Address: Ulster Bank, 2 Charlotte Street, Warrenpoint, County Down.

Account No: 10387023

Sort Code: 98-14-90
Should be Empty:

YOUR DETAILS