ITS Credit Account Application Form 00003 V2

Credit Account Application Form 00003 V2

Use this form to apply for a customer account with ITS
Contact Name

First NameLast Name
Contact Telephone
Contact Email
example@example.com
Accounts Email (If Different from above)
example@example.com
Company Name (Exact Name)
Is this a Limited Company
Trading Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Registered Office Address (if Different to Trading Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Company Established

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Company VAT Number
Company Registration Number
Company Website

Name & Position of Directors / Proprietors

Reference Details

Rows	Full Name	Address	Telephone	Email
Reference 1.
Reference 2.

Please indicate the Credit Limit you require
Please Note: We provide quality products and excellent service. In return we expect our customers to adhere to our payment terms as shown on the CONDITIONS OF SUPPLY. Your signature below acknowledges acceptance of these.
Customer Signature
Name in CAPITALS

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Industrial Trading Solutions use only
Account Approved
Comments
Credit Limit Approved
Name of Approver

First NameLast Name
Signature of Approver
Date Approved

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: