FORM - CAF2
NEW ACCOUNT
APPLICATION FORM
(PLEASE COMPLETE IN BLOCK CAPITAL LETTERS)
BUSINESS DETAILS
Company Name
Trading Name (if different to company name)
Company Address
Company Telephone (including area code)
Street:
Company Fax (including area code)
Company e-mail
Town:
City:
Company website
County:
Type of Company (Please tick the relevant box)
Limited Company
Partnership
Sole Trader
Company Registration Number
Type of Business (Please tick the relevant box)
Retail
Wholesaler
VAT Number
Internet
Other
Number of Years in Business
Date of Company Registration
Number of Branches
Number of Employees
Estimated monthly spend
Estimated annual turnover
Credit Limit Required
€
€
€
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FORM - CAF2
NEW ACCOUNT
APPLICATION FORM
(PLEASE COMPLETE IN BLOCK CAPITAL LETTERS)
ORDER CONTACT DETAILS
ACCOUNTS CONTACT DETAILS
Full Name
Full Name
Telephone (including area code)
Telephone (including area code)
Fax (including area code)
Fax (including area code)
e-mail
e-mail
PROPRIETORS DETAILS Full Name(s), Address(es) and Telephone No. of Proprietor(s) / Director(s) / Partner(s)
Full Name & Address (Proprietor/Director/Partner)
Full Name & Address (Proprietor/Director/Partner)
Name:
Name:
Address:
Address:
Home Telephone:
Home Telephone:
TRADE REFERENCES
Trade Reference Details
Trade Reference Details
Company Name:
Company Name:
Telephone:
Telephone:
I am fully aware of your Terms & Conditions of Sale as stated on document TC1 & I agree to abide by same.
Full Name
Signed
Date
N.B. Your Application may be rejected if you fail to provide all necessary information on this form.
FOR OFFICE
USE ONLY
Account No.:
Date Received:
Approved By:
Date Approved:
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FORM - CAF2
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