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Trade Account

Please complete this form to apply for a trade credit account with B. J. Industrial Supplies Ltd.

APPLICATION FOR CREDIT ACCOUNT

DETAILS OF APPLICANT

	Trading Name:
	Street 1:
	Street 2:
	Town:
	Country:
	Postal Code:

	Delivery Address:
	Street 1:
	Street 2:
	Town:
	Country:
	Postal Code:

	Invoice Address:
	Street 1:
	Street 2:
	Town:
	Country:
	Postal Code:

	Tel:
	Fax:
	E-mail:
	WWW:

	Owners Name:
	V.A.T. No:
	Co. Reg. No:
	Co. Status (plc., Ltd. etc.):
	Years Trading:

Trade References (Not within your company group)

	1:
	Tel:
	Fax:

	2:
	Tel:
	Fax:
	Please enter the code you see in this box:

6 Harwood Street
Blackburn, Lancashire
United Kingdom BB1 3BD

Tel.: 01254 675244
Fax: 01254 663061
E-mail: infothetradeshop.co.uk

Last update: 26 Sep 2007, 13:16:04