Trade credit application - Atlantis Tanks Group Ltd

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Trade Credit Application Form

Application to open a credit account with Atlantis Tanks Group Ltd

"*" indicates required fields

Full Trading Address

Building Name/Unit #*

Street Address 1*

Street Address 2

City*

Post Code*

Registered Office Address (If Limited Company)

Building Name/Unit #

Street Address 1

Street Address 2

City

Post Code

Contact Details

Business Landline Tel #*

Mobile #

Business Email Address*

Name/s of Proprietors/Directors

Director/Proprietor 1*

Director/Proprietor 2

Director/Proprietor 3

Addresses of Proprietors/Directors

Address 1*

Address 2

Address 3

Main Business Contact

Contact Name*

Position*

Tel #*

Email Address*

Limited Company Details (if applicable)

Number of Years Trading

Description of Business

Annual Sales Turnover

VAT Registration Number

Company Registration Number

Your Declaration

Declaration*

I confirm

I confirm that the information given in this form is true and complete. I have read your terms and conditions and agree to trade according to these terms which includes Atlantis' payment terms of 30 days from the date of invoice.

(To be signed by a Director/Proprietor)

Name*