Account Application Form

Please provide the details requested and return by fax, post or e-mail, including a company letterhead, so that we can update our records and make the neccessary arrangments to open a credit account in your name. Our standard terms are 30 days from end of month of invoice, unless otherwise agreed.
Company Details

Company Name: A value is required.

if a Limited Company:		1. Company Registration No.:
		2. Year of Incorporation:

(Invoice) Address: A value is required.		Tel: A value is required.
		Fax: A value is required.
		E-mail: A value is required.
		Postcode: A value is required.

Principal(s) / Director(s): A value is required.
Purchase Ledger Contact: A value is required.
		Monthly Credit required £: A value is required.


Bank Details

Bank Name: A value is required.

Address: A value is required.		A/C No.: A value is required.
		A/C Name: A value is required.
		Sort Code: A value is required.


Trade References Please provide details of 2 of your main suppliers

1		2
Name: A value is required.		Name: A value is required.
Address: A value is required.		Address: A value is required.
Contact: A value is required.		Contact: A value is required.
Tel: A value is required.	Fax: A value is required.	Tel: A value is required.	Fax: A value is required.

Applied Diamond (Products) Ltd. Holly Farm Business Park Honiley, Kenilworth Warwickshire CV8 1NP		Tel: +44 (0) 1926 485 185 Fax: +44 (0) 1926 485 186 e-mail: sales@applieddiamond.com

Holly Farm Business Pk, Honiley, Kenilworth, Warwickshire, CV8 1NP
Tel:+44 (0) 1926 485 185 Fax: +44 (0) 1926 485 186 e-mail: info@applieddiamond.com