+44 (0)1443 223 361

|enquiries@packstat.co.uk

enquiries@packstat.co.uk

Apply for a Credit Account

Please fill in all of the information below to apply for a credit account.

Company name:

Address:

Postcode:

Purchasing contact:

Account contact:

Telephone number:

Fax number:

Email:

Company registration number:

Address of registered company If different from above:

Postcode:

Telephone number:

Fax number:

Email:

Proprietors names if not a limited company:

Trade References

Name:

Address:

Postcode:

Telephone number:

Email:

Contact name:

Name:

Address:

Postcode:

Telephone number:

Email:

Contact name:

We will inform you shortly of the outcome of your application based on the information given herein
and by completing this form you agree to comply with our Terms & Conditions of Sale.

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