Credit Appliction Form

Please complete the below form to be eligible for our 30 Day Payment Terms.

Name

First Name

Last Name

Account Manager

Date

YYYY

Company/Organisation Name and Address

Registered Name and Address

Telephone Number

Accounts Contact

The name, contact number and email address of your accounts department

Company Registration Number

Please put N/A if you do not have a company reg number

V.A.T Registration Number

Please put N/A if not V.A.T registered

Number Of Years Trading

First Order Value

The amount of your first order with BIST including V.A.T

Terms of Sale Contract

Terms & Conditions

Please tick the below box to confirm that you understand our Terms & Conditions and you agree to our 30 day payment terms

I agree

Signed

Position in the Company