Account Application

Company Details
Company Trading Name:
Registered Office Address:		Delivery Address:
Postcode:		Postcode:
Telephone Number:		Telephone Number:
Fax Number:		Fax Number:
Email Address:		Company Registration No.:
Website Address:		VAT Registration No.:
Accounts Contact:
Purchasing Contact:		Credit Limit Required:	£
Please Supply two trade references
Trade Ref 1:		Trade Ref 2:
Address:		Address:
Postcode:		Postcode:
Telephone Number:		Telephone Number:
Fax Number:		Fax Number:
Credit Terms
Payment is due 30 days from the end of the month invoice
Declaration
I/We have read and understood the above terms and conditions and the trading terms printed overleaf / attached and I/we hereby agree and accept the aforementioned terms and conditions
Authorised Name:		Date:
Position:

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RSR Fasteners Limited
Unit 2
Pasedena Close
Pump Lane Ind. Estate
Hayes
Middlesex
UB3 3NQ

© 2009 The RSR Group | Unit 2 Pasedena Close, Pump Lane Ins. Estate, Hayes, Middlesex, UB3 3NQ
Registered in England and Wales with registered number 123465789 | VAT registration number GB 123 4567 89

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