D L I

UK Time: Thursday, 02 May 2024 06:49 pm

Email: info@dli.co.uk
Tel: +44 (0)1226 770055
Fax: +44 (0)1226 770099

1.	Trading Name*
2.	Invoicing Address*
3.	Telephone Number*
4.	Name of Contacts*
5.	Statement Address (address from which payments will be made if different from above)
6.	Trading Style Tick as appropriate	Ltd Co Sole Proprietor Partnership
7.	Registered office address or name and address of proprietors*
8.	Company Information
	Ltd Co Reg Number*
	How Long Established*
	No of Employees*
	Nature of business*
	Turnover*
9.	Is your company a member of a larger group?	Yes No
	Group Name
	Turnover
10.	Bankers name and address*
	Postcode*
	Account Number	We will call you for this information after we receive this information.
11.	Trade References* Please give names and addresses of two companies with whom you have a credit account and do regular Business.
	1.*
	Postcode*
	2.*
	Postcode*
I/We hereby request that an account be opened by me/us in accordance with the above particulars. I/We confirm that all orders given to you will be subject to your terms and conditions of sale (as stated on the reverse of this form), particularly the provision relating to 'Risk In Title to Goods' (Clauses 2, 3, 4, 5 & 6). I/We have read the Terms and Conditions of Sale.* Yes
Monthly Credit Required*
Name*
Signature*		Retyping your name will be accepted as a signature.
Date*
Position*
Email Address*

		IMPORTANT: Please SEND a sample of your current letterheading or official order.