Credit Application

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1 Step 1

FULL TRADING NAMEfull trading name

TRADING ADDRESS

STREET ADDRESSstreet address

ADDRESS LINE 2address line 2

CITYcity

COUNTY / STATE / REGIONcounty/state/region

ZIP / POSTCODEzip/postcode

COUNTRYcountry

Emaila valid email

IF LTD, REG OFFICE

STREET ADDRESSstreet address

ADDRESS LINE 2address line 2

CITYcity

COUNTY / STATE / REGIONcounty/state/region

ZIP / POSTCODEzip/postcode

COUNTRYcountry

COMPANY REGISTRATION NUMBER

COMPANY REGISTRATION NUMBERcompany registration number

PRINCIPALS / DIRECTORS

PRINCIPALS / DIRECTORSprincipals/directors

DELIVERY ADDRESS

COMPLETE ONLY IF DIFFERENT TO ABOVE ADDRESS:

STREET ADDRESSstreet address

ADDRESS LINE 2address line 2

CITYcity

COUNTY / STATE / REGIONcounty/state/region

ZIP / POSTCODEzip/postcode

COUNTRYcountry

EMAILa valid email

INVOICE ADDRESS

COMPLETE ONLY IF DIFFERENT TO ABOVE ADDRESS:

STREET ADDRESSstreet address

ADDRESS LINE 2address line 2

CITYcity

COUNTY / STATE / REGIONcounty/state/region

ZIP / POSTCODEzip/postcode

COUNTRYcountry

EMAILa valid email

HOW LONG ESTABLISHED

HOW LONG ESTABLISHED?address line 2

TRADE OF COMPANY

TRADE OF COMPANYtrade of company

TELEPHONE NUMBER

TELEPHONE NUMBERtelephone numnber

IF NOT LTD COMPANY (THE NAMES AND ADDRESSES OF PROPRIETORS OR PARTNERS)

IF NOT LTD COMPANY (THE NAMES AND ADDRESSES OF PROPRIETORS OR PARTNERS)IF NOT LTD COMPANY (THE NAMES AND ADDRESSES OF PROPRIETORS OR PARTNERS)

0 /

REFERENCES

TRADE REFERENCE 1

COMPANY NAMEcompany name

STREET ADDRESSstreet address

ADDRESS LINE 2address line 2

CITYcity

COUNTY / STATE / REGIONcounty/state/region

ZIP / POSTCODEzip/postcode

COUNTRYcountry

TELEPHONEtelephone

EMAILemail

REFERENCES

TRADE REFERENCE 2

COMPANY NAMEcompany name

STREET ADDRESSstreet address

ADDRESS LINE 2address line 2

CITYcity

COUNTY / STATE / REGIONcounty/state/region

ZIP / POSTCODEzip/postcode

COUNTRYcountry

TELEPHONEtelephone

EMAILemail

BANK DETAILS & AUTHORISATION

BANK NAMEbank name

ACCOUNT NUMBERSaccount numbers

SORTCODEsortcode

I/we the undersigned would like to open an account with HTS Ltd and request that we are supplied with goods on credit.I/we understand the terms and conditions are nett 30 days from the date of the invoice.In pursuance of this request we acknowledge receipt of the "Terms and Conditions of Business" supplied to us and agree to abide by those conditions of sale governing any order or contract placed with HTS Ltd.

NAME OF PERSON COMPLETING FORMcompleting form

DATEof appointment

EMAILemail

POSITIONposition

UPLOAD A SPECIMEN LETTER HEADING TO THIS APPLICATION

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