Credit Account Application

Credit Account Application
TO BE COMPLETED BY APPLICANTS
Please complete all sections and read the Terms and Conditions of Trade overleaf.
BUYER'S LEGAL NAME
DATE

MonthDayYear
Date
BUYER'S TRADE NAME
Phone
Fax
Mobile
Email
example@example.com
BILLING ADDRESS
PHYSICAL ADDRESS
Company Registration No
Requested Credit Limit
Date Established

MonthDayYear
Date
Contact 1
Position
Phone
Contact 2
Position
Phone
DETAILS OF PARTNERS (If Partnership) OR DIRECTORS (If Company)
Full Name
Home Address
Home Phone
Full Name
Home Address
Home Phone
TRADE REFERENCES
Business Name 1
Address or A/C No
Phone
Fax
Business Name 2
Address or A/C No
Phone
Fax
I certify that the above information is true and correct and that I am authorised to make this application for credit. I irrevocably and unconditionally consent to the use of my personal information as required by the Data Protection Acts 1988-2003, and in particular the disclosure of my information to any credit reporting agency for the purposes of listing a default should I default in payment of any accounts. I have read and understand the TERMS AND CONDITIONS OF TRADE (overleaf) of Starcrest Seafoods Limited which form part of, and are intended to be read in conjunction with this New Account Application and agree to be bound by these conditions. Application MUST be signed by: Sole Trader; two Active Partners; or if a Company, two Active Directors.
SIGNED

Clear
Name
Position
ID
SIGNED

Clear
Name
Position
ID
Starcrest Seafoods Limited. Phone: 074-9721092 Registered in Ireland - Company Registration No: 306538 Registered Office and Postal Address: The Mullins, Old Laghey Road, Donegal Town, Co. Donegal.
Should be Empty:

Credit Account Application

TO BE COMPLETED BY APPLICANTS

TRADE REFERENCES