WOOD’S   SKIP HIRE

Boundary Lane

South Hykeham

Lincoln

LN6 9NQ

Tele 01522 692235

Fax  01522 692246

Company Name

Telephone No:

Invoicing Address

Company Reg No

Reg Office

Facsimile No:

e-mail:

Ltd

P L C

Credit Limit Required

Payment Type

Bacs

Cheque

Our Payment Terms are strictly 30 days nett

Bank Details

Bank Name

Sort Code

Account No:

Bank Address

Request for us to contact your bank for a reference. Costs incurred will be met by the applicant

Signed

Trade Reference No1

Trade Reference No2

In processing your application for credit facilities we may make enquiries of credit reference agencies and other thrid parties who may record those enquiries. We may also disclose information about the conduct of your account to credit reference agencies and other third parties. The information obtained from or provided to credit reference agencies or other third parties may be used when assessing further applications for credit terms, for debt collection, for tracing and for fraud prevention. I the undersigned herby confirm that if credit facilities are approved the account will be paid as per your normal monthly terms, and I personally guarantee, jointly and severally, to indemnify you for any amount outstanding from time to time on the said account, in the event of non-payment by the company, in whose name such credit is hereby sought. I also agree, personally and on behalf of the company, to pay interest at the rate of 8% above base rate per annum on any amount outstanding for more than 30 days.

Must be signed by a Company Director

Print

You can print this form off and sign it then send by fax or post it to us, if you fax it you will have to sign a letter head letter agreeing to the term on the above form and send by post before the account can be made live ready for us by your company

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