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Sales Account Application
Step
1
of 4
Business Contact Information
Contact Name:
Company:
Phone:
Fax:
Email:
Registered Company Address:
Street Address
City
County
Postcode
Credit Req.:
Date Business Commenced:
Company Registration No:
VAT No:
Company Type
Sole Proprietorship
Partnership
Limited Company
Other:
Next
Business and Credit Information
Phone:
Fax:
Email:
Time at current address:
Invoicing Address:
(If different from above)
Same Address
Different Address
Invoicing Address:
Street Address
City
County
Postcode
Bank Details:
Bank Name:
Phone:
Fax:
Email:
Bank Address:
Street Address
City
County
Postcode
Account Details:
Account Name:
Account Number:
Sort Code:
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Business / Trade References
Reference 1:
Company:
Phone:
Fax:
Email:
Type of Account:
Invoicing Address:
Street Address
City
County
Postcode
Reference 2:
Company:
Phone:
Fax:
Email:
Type of Account:
Invoicing Address:
Street Address
City
County
Postcode
Reference 3:
Company:
Phone:
Fax:
Email:
Type of Account:
Invoicing Address:
Street Address
City
County
Postcode
Previous
Next
Agreement & e-Signatures
Agreement:
All invoices are to be paid from the date of the invoice.
Claims arising from invoicing must be made within seven working days.
By submitting this application, you authorise IRG Limited ot make inquiries into the banking and business/trade references that you have supplied.
The signatory is authorised to agree on behalf of the above organisation to abide by the
T&C's
of © IRG Limited.
Signatures
(of Director / Partner etc.)
Title:
Mr
Mrs
Ms
Dr
Master
Mx
Date:
Print your name
Review your signature
Draw your signature
Type It
Draw It
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Title:
Mr
Mrs
Ms
Dr
Master
Mx
Date:
Print your name
Review your signature
Draw your signature
Type It
Draw It
Clear
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