Credit Request

NAME

First

Last

COMPANY

Company name

Company Address

City

State/Province

Zip/Postal

Country

Company website

Company Reg. No.

Company VAT. No.

Company Tel. No.

ACCOUNT DETAILS

YOUR account contact

First

Last

Account Email address

Account Tel No.

MORE DETAILS

Please list any IT Trade Associations your company belongs to

DIRECTORS

Director 1

Director 2

TRADE REFERENCES

Name of trade reference 1

Name of trade reference 2

Address

City

State/Province

Zip/Postal

Country

Address

City

State/Province

Zip/Postal

Country

Phone

Email

BANK DETAILS

Name of bank

Address

City

State/Province

Zip/Postal

Country

Currency

Credit Limit Required (GBP)

125000

CONFIRMATION

Please tick

I confirm that our company accepts Green Circle IT’s terms and conditions of sale and the account being applied for will be paid within the agreed terms.

Authorised Signatory

Credit Request

NAME

COMPANY

ACCOUNT DETAILS

MORE DETAILS

DIRECTORS

TRADE REFERENCES

BANK DETAILS

CONFIRMATION

UK Office

US Office

DK Office

Boring stuff