APPLICATION FOR CREDIT

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APPLICATION FOR CREDIT FACILITIES

Please complete all relevant sections of this application and enclose a company letterhead to enable us to process your application quickly.

General Details

Business Name Business Address

Postcode Telephone No Email sales : Email accounts : Contact – Accounts Contact – Sales Amount of Credit

Fax No

Tel: Tel: £

For Limited Companies

Registered No Registered Office VAT Number For Non-Limited Companies (if more than one proprietor please detail on reverse of application)

Proprietor Name Home Address Postcode Telephone No Trade References - please supply details of two suppliers ACTIVE in last 3 months. Please ensure that you complete the telephone details for each supplier

Supplier 1 Address

Supplier 2 Address

Contact Postcode Telephone Email

Contact Postcode Telephone Email

I am authorised to sign on behalf of the above named company

Name (please print) Signature Date Reg Office – O BAG UK, Unit 30 Monkspath Business Park, Shirley, Solihull B90 4NZ Tel. 0845 519 6161 www.obag.uk.com O bag is the trading name of JComm Limited Registered in England & Wales No. 09878439