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Credit Account On-Line Application

To apply for a 3prime solutions limited Credit Account, please complete the online form below, or alternatively Download the PDF Version and return to us by fax. If you have any questions regarding our Credit Account please do not hesitate to Contact us.
Company Information
Company Name*
Contact Name*
Trading Name (if different)
Nature of Business*
Trading Address*
Post Code*
Telephone*
Fax*
Email*
Company Reg. No.
Vat No.* *Compulsory if VAT registered
Years Trading*
No. of Employees*
Accounts Information
Accounts Contact Name*
Accounts Telephone*
Invoice Address*
Preferred Invoice Currency
Avg. Monthly Order Value* (In preferred Invoice currency)
Bank Details
Bank Name*
Bank Address*
Sort Code*
Account No.*
Trade Reference 1
Company Name
Contact Name
Company Address
Post Code
Telephone
Fax
Trade Reference 2
Company Name
Contact Name
Company Address
Post Code
Telephone
Fax
Trade references will be required for all accounts.
Credit Terms Requested*
Credit Limit Requested* (In preferred Invoice currency)

To print a copy of this form, please use the Browser <Print> option before pressing the <Submit> button.
By submitting this form you are confirming you acceptance of our Terms & Conditions of Supply
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Tel: +44 (0)1332 292123      Fax: +44 (0)1332 362101
 info@3prime-solutions.com
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