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Credit Application Form

Apply for a Credit Account with us here at Wessex

Application Form

"*" indicates required fields

Bank and Trade References

Name of Bankers*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Bank Account Number*

Sort Code*

First Principal Supplier for Reference

Reference / Company Name (1st Reference)*

Address (1st Reference)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone No. (1st Reference)*

Email Address (1st Reference)*

Second Principal Supplier for Reference

Reference / Company Name (2nd Reference)*

Address (2nd Reference)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone No. (2nd Reference)*

Email Address (2nd Reference)*

Account Information

Credit Limit Required*

Name of person responsible for paying accounts on time*

Telephone No. (Person responsible for paying accounts)*

Email Address (Person responsible for paying accounts)*

Declaration by Applicant (To be signed by a Director or Company Secretary)*

I, being an authorised officer of this Company, herby apply for a credit account with WESSEX PACKAGING, I agree that payment of all the sums due to WESSEX PACKAGING will be made within your stated credit terms, and that the title to goods supplied to this Company by WESSEX PACKAGING shall remain with WESSEX PACKAGING until payment by this Company of the total purchase price and of all other sums due to WESSEX PACKAGING from this Company. I have read and agree to WESSEX PACKAGING's Standard Conditions of Sale.

Signed*

Name*

Position in firm*

Date*

Name

This field is for validation purposes and should be left unchanged.

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Credit Application Form

Application Form

Company Information

Bank and Trade References

First Principal Supplier for Reference

Second Principal Supplier for Reference

Account Information