Credit Account Application Form

       Please complete the details below  
  Print the pages
  Sign and Fax to us on: +44(0)20 8452 1131

           
Nature of Business:
   
Name of Company:

Address:








Telephone No:


Facsimile No:

 







Date of Incorporation:

Company Registration No:

 
 


Type of Company:
 

Bank A/C No & Sort Code:


Bankers Name & Address:
 
 

       

Name & Address of all
Directors or Partners:

 

 

 

 

 



 
   

 

Business References

Two Required:

 
   


 

Name/s of Authorised
User/s of Account:








Special Instructions:

 

 
  


Your Name:

 


   

Position in Company:

 


     

Email Address:

 


      

Date:

 




     

    

_________________________________

     

Signature      
 

    
1. All accounts will be settled within 14 days following the date of issue
2. Claims arising from invoices must be made within 14 working days
3. All accounts may be subject to a service charge
           

Lancaster Private Hire 

        Telephone: +44(0)20 8452 1122 

 

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