Trilanco

Please fill in the form, print out and sign then post to us with your other forms to complete your
Trading Account Application.

Trading Title
Address of trading company
Postcode
Business contact name
Business phone no. 1. 2.
Business fax no 1. 2.
Email address
Website address
V.M.D Premises number and type
Suitably qualified persons code and name
VAT registration no
Date company started trading

If business is a LIMITED LIABILITY PARTNERSHIP please give the registration details and registered address if different from the trading address
Address
Postcode
Company registration no

IF SELF EMPLOYED OR A PARTNERSHIP
Give the names, telephone numbers of all private addresses of all concerned
Full name
Address
Postcode  
Phone no 1. 2.
   
Full name
Address
Postcode  
Phone no 1. 2.
   
Full name
Address
Postcode  
Phone no 1. 2.
   
Full name
Address
Postcode  
Phone no 1. 2.

BANKERS REFERENCE
Banks Name
Address
Postcode  
Sort code
Account number

TRADING REFERENCE 1
Company
Address
Postcode  
Phone no
Fax no

TRADING REFERENCE 2
Company
Address
Postcode  
Phone no
Fax no

TRADING REFERENCE 3
Company
Address
Postcode  
Phone no
Fax no

ACCEPTANCE OF TERMS OF TRADING
Goods are only supplied on the condition that the purchaser has read and fully accepted our Terms of Trading as detailed in our Trade Price List.
THE PLACING OF AN ORDER IS DEEMED AS CONFIRMATION THAT THE CUSTOMER HAS ACCEPTED OUR TERMS AND CONDITIONS OF SALE
I HEREBY ACCEPT THE TERMS AND CONDITIONS OF TRADING
Signed Print Name Position Date


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Trilanco Ltd | Phone: 01253 891697 | Fax: 01253 891249 | Email: sales@trilanco.com

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