|
*shaded fields are non-mandatory |
|
Business details |
| |
| Name Of Account |
|
REQUIRED CREDIT |
Per Month |
| business address |
|
Telephone number |
|
| facsimile number |
|
| electronic mail |
|
| type of business |
|
company reg. number |
|
| billing address if
different from above |
|
nature of business |
|
| Date established |
|
| |
|
bank details |
| |
| name and address of
your bank. |
|
sort code |
|
| account number |
|
| |
|
| referee
details (please enter Two) |
| |
company 1 details |
|
company 2 details |
| company name 1 |
|
Company name 2 |
|
| contact name |
|
contact name |
|
| position |
|
position |
|
| company address |
|
company address |
|
|
booking details |
| please
enter the Name(s) of all persons authorised to use the account
and/or any special instructions. please delimit names with
comma's |
|
can we accept bookings by any
else? |
no
yes |
| must we take a reference with
every booking? |
no
yes |
| |
|
|
legal |
| your name |
|
your position |
|
