Credit Account Application

I / We request Quinn Freight Forwarding Ltd to open a credit account in the name of
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Bus Reg No:
VAT No:

First Director Name
First Director's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Second Director Name
Second Director's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Invoice Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I / we give below the names and addresses of TWO referees of whom the customary trade enquiries can be made (both referees should be transport or service companies who are in the position to speak for a credit figure with that stated below)
First Company name
Contact
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Second Company name
Contact
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Tel:
Fax:
Expected maximum amount of credit required per month - €/ £:

I / We have received conditions of carriage and accept conditions in full on all goods carried on behalf of my company. I/We confirm that the information given in this Credit Account Application Form is in all respects true and accurate. I/We confirm that I/we have read and understood your terms and conditions and should a credit account be opened, the following terms of credit will be adhered to unless otherwise specifically stated in the credit offer letter.
(a) Settlement to be received at the above address by 30 Days following Date of invoice. (b) Complaints or queries MUST be notified in writing immediately
Print Name
Position in Company
Date
DD slash MM slash YYYY

For any queries, Please contact