New Account Application Form

New Account Application Form
Trading Title
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Country Dial CodePhone Number
E-mail
By entering your email, you agree to receive our marketing in accordance to our privacy policy. Opt-out at any time.
Sales Contact
Accounts Contact
Terms
Our standard terms are 30 days from invoice
Nature of Business
Credit Amount Required Per Month
If you do not require credit, you can skip trade references.
VAT Registration No.
Length of Time Traded as Company
How did you hear about us?*

Trade References
Please select

PrestigiousFryettesSimpsonsAshley WildeChatham GlynnRomoClark & ClarkChess Designs

Please give trade references:

	Full Name	Address	Tel. No.	Account No.
1
2

Bank Details
Bank Name
Bank Address
Sort Code
Account No.
Signature

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By signing this document you are agreeing to Mzuri Textiles Ltd Terms of Sale and Terms highlighted below.
We may make a search with a credit reference agency, which will keep a record of that search and will share that information with other businessess. We may also make enquiries abou the principal directors and propprietors with a credit reference agency. By providing your details and signing this document, you agree that Mzuri Textiles Ltd may contact you by email, phone or post in relation to your enquiry. You confirm you have read and accepted our privacy policy. Please note that failure to complete any part of the above form may delay you credit account acceptance.
Should be Empty:

If Limited Company