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ACCOUNT FORM
Serious About Safety
Customer Account Application Form
YOUR BUSINESS DETAILS - (If you wish to open a BCS Group account, please complete and return with a sample of your official company letter headed paper)
Full Company Name: Company Reg No:
Invoice/Statement Address: VAT Registration No:
Town: Trading Style: (please tick or state other)
County: Post Code: Limited Company PLC
Website: Partnership Sole Trader
Nature of business: Government Dept/Institution/Professional Body
How long have you been established? Years Months Credit Limit Required: £ Other: (please tick box and state below)
Credit Terms: 30 DAYS FROM INVOICE
Trading Address: (if different to Invoice Address) Delivery or Site Address:
Town: Town:
County: County:
Post Code: Post Code:
CONTACT DETAILS
Account Payable Contact Name: Tel No: Fax No:
Job Title: Email:
Buying Contact Name: Tel No: Mobile:
Job Title: Email:
TRADE REFERENCES
Name: Name: Name:
Address Address Address
Post Code: Post Code: Post Code:
Tel No: Tel No: Tel No:
YOUR BANK DETAILS - PLEASE GIVE FULL DETAILS OF YOUR MAIN ACCOUNT
Bank Name: Account Number:
Account Name: Sort Code: - -
Bank Address: Post Code:
DECLARATION To be completed by a director(s) of a limited company/members of LLP
This is a legal document. Do not sign this form unless you wish to be bound by our terms & conditions. The full version of our trading terms & conditions can be viewed at http://www.bcsgroup.co.uk.
I / We hereby make application for a trade account with BCS Group. I / We agree to make payments in accordance with the terms & conditions offered. I / We authorise you to take up any trade references
or make use of a credit reference agency in accordance with the Data Protection Act 1988.
Signature:
Print Name:
Position:
Date: / / / / / /
FOR OFFICE USE ONLY
Account Number: Credit Limit Approved: £ Date Approved: / /
Approved By: Account Manager:
Please forward this form when completed, either by post or email including a copy of your company letterhead CF449-50 Version 4
BCS Group: Registered in England and Wales, Company No 01808140. Tel. 01922 726726 Email. sales@bcsgroup.co.uk
Registered Address: Barhale Construction Services Ltd, Bescot Crescent, Walsall WS1 4NN.
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