TION TAPPLICA O OPEN ACCOUNT

I wish to open an account with your company and authorise you to take references if required

Office use onlyCode:Date:

Opened by:

1. TRADING NAME & DELIVERY ADDRESS:

POST CODE:

TEL:MOBILE:FAX:EMAIL:

TEL:MOBILE:FAX:EMAIL:

2. HEAD OFFICE/STATEMENT ADDRESS (IF DIFFERENT FROM ABOVE):

POST CODE:

3. SOLE TRADER/PARTNERSHIP NAME & HOME ADDRESS:

Partner A: Partner B:

POST CODE: HOME TEL:D.O.B.

POST CODE: HOME TEL:D.O.B.

4. CONTACT NAMES: Manager:

Accounts Contact: Catering Contact:

5. LIMITED COMPANIES ONLY:Registration Name: Registration Number:

Registered Office Address & Postcode

6. BANK DETAILS:Name & Address:

Account No:Account Name:

Sort Code:Account Type:

7: ACCOUNT PAYMENT TERMS:

I/We agree to pay for all goods supplied within our terms (as stated above). I/We also understand that until references havebeen checked all orders will be paid by credit/debit card upon ordering, and that overdue accounts may be subject to interestcharge at 3% per month or part month. All goods remain the property of HARLECH FROZEN FOODS LTD until paid for infull

8. Signed ---------------------------------------------- Position ---------------------------------------------- Date -----------------------------