Credit application form

Credit application form

Complete this form fully to apply for a 30day credit account.
Thank you for your recent application to open an account. Please complete, sign and return this form along with a sample of your official company letterhead confirming acceptance of our Terms & Conditions of Business to enable us to proceed with your application.
Full Legal Company - (The Buyer)*
Trading Name (If different)
Company Registration Number*
Invoice Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Accounts Contact details
Name*
Tel No*
Email*
example@example.com
Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Purchasing Contact details
Name*
Tel No*
Email*
example@example.com
Email for statements*
example@example.com
Email for invoices*
example@example.com
Which best describes your business*

Cleaning companyReseller / WholesaleOfficeHospitalityMedicalEducationOther
Please provide us with two independent trade references.
Company 1
Tel No
Email
example@example.com
Company 2
Tel No
Email
example@example.com
In consideration of Futures Supplies & Support Services Ltd 'The Seller' agreeing to open a credit account 'The Buyer' agrees that all transactions will be conducted within 'The Seller' Terms Conditions of Business.
I 'The Buyer' confirm receipt and agree acceptance of the Terms & Conditions of Business of 'The Seller' Futures Supplies & Support Services Ltd and I confirm I am authorised to do so on behalf of 'The Buyer'
Name*

First NameLast Name
Sign*

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Job Title*
Date*

MonthDayYear
Date
Please verify that you are human*
Please upload a sample of your Official Company letter headed paper

Cancelof
PLEASE NOTE THAT OUR TERMS ARE STRICTLY 30 DAYS NET, WE OPERATE A STOP SYSTEM ON OVERDUE ACCOUNT AND RESERVE THE RIGHT TO CHARGE INTEREST UNDER OUR STANDARD TERMS CONDITIONS OF BUSINESS. WE UNDERSTAND AND WILL EXERCISE OUR STATUTORY RIGHT TO CLAIM INTEREST AND COMPENSATION FOR DEBT RECOVERY COSTS UNDER THE LATE PAYMENT LEGISLATION IF WE ARE NOT PAID ACCORDINGLY TO AGREED CREDIT TERMS.

You are signing also to approve and acknowlidge that futures supplies will carry out further checks on your company/entities for suitability of credit

Credit application form

Accounts Contact details

Purchasing Contact details

Please provide us with two independent trade references.