Credit Application - Ascri Environmental

Full Trading Name *

Address *

Town / City *

Postcode *

Phone number *

Use same address for Statement Address

Use same address for Invoicing Address

Statement Address

Town / City

Postcode

Invoice Address

Town / City

Postcode

Company name *

Company registration number

Registered Office *

Town / City *

Postcode *

Principal Partner Name 1 *

Address *

Town / City *

Postcode *

Principal Partner Name 2

Address

Town / City

Postcode

Principal Partner Name 3

Address

Town / City

Postcode

Fully paid share capital

If a subsidiary, name of parent company

Date established

Annual turnover *

No. of employees *

Property owned

Property rented

Type of work undertaken *

Bank name *

Bank address *

Bank account number *

Trade Reference Name 1 *

Address *

Town / City *

Postcode *

Telephone number *

Estimated amount of credit per month required *

Date by which credit facilities are needed?

If credit facilities are granted, I/We undertake to adhere to your Conditions of Sales and to Settle My/Our Accounts within your terms.

Name *

Signature *

Draw signature here..

Or upload your signature

No file chosen

Upload a file

Job title / position *

Credit Application Form