Credit Account Application Form – Hillside Delivery Service Ltd

Enquire about our handebags

Get a haulage or delivery quote

Credit Account Application Form

"*" indicates required fields

Business Contact Information

Contact Name*

Telephone*

Email*

Address*

City*

County*

Postcode*

In Business Since*

Business Type*

Sole Trader

Partnership

Limited Company

Other

Business and Credit Information

Postal Address*

City*

County*

Postcode*

Telephone*

Email*

Bank Name*

Bank Address*

Telephone*

City*

County*

Postcode*

Business / Trade References

Company Name*

Contact Name*

Address*

City*

Postcode*

City*

Postcode*

Telephone*

Email*

Invoice Address / Accounts Department

Department*

Contact Name*

Is a Purchase Order number required on invoice

Monthly credit amount required:*

Telephone:*

Agreement

1. All invoices are to be paid within 30 days following the date of the invoice. 2. Any queries arising from invoices must be made within seven working days of receipt of invoice 3. By submitting this application you authorise Hillside Delivery Service ltd to make enquiries into the banking and business/trade references that you have supplied.

Signature*

Title*

Date*