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Company Details
Company Name
Address
	Post Code:
Telephone Number		Fax Number
E-mail Address
Invoice Address
Post Code:
Telephone Number		Fax Number
E-mail Address
Bank Details
Bank Name
Address
Post Code:
Sort Code		Account Number
VAT Number
Company Registration Number
Who is responsible for authorising payment within your company?
Name		Position
Trade Reference 1
Contact
Company Name
Address
Post Code:
Telephone Number		Fax Number
Trade Reference 2
Contact
Company Name
Address
Post Code:
Telephone Number		Fax Number

I request to open a credit account with Techflow Products LTD, and I have received a copy of Techflow Products LTD terms and conditions of Sale. It is our company’s policy to settle all outstanding invoices within ............ days (Please indicate your companies payment strategy)
Other information:
Do you have a trade counter or show room please indicate:
Signed on behalf of ………..……………….	Signature ………………………………
Date …………………………………………..	Name ………………………..…………