Credit Account Application Form - Micro Kitchens To Go

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User Registration

Company / Trading Name
*

Business Address
*

Business Address

Address Line 1

Address Line 1

Address Line 2

Address Line 2

Town/City

Town/City

State/Province

State/Province

Postcode

Postcode

Telephone number
*

Email address
*

Company Registration Number
*

VAT Number
*

Currency for invoicing
*

GBP

Euro

Contact Name for orders
*

Contact Telephone Number
*

Contact Email Address
*

Date Business Established
*

Invoice address if different to above

Invoice address if different to above

Address Line 1

Address Line 1

Address Line 2

Address Line 2

Town/City

Town/City

State/Province

State/Province

Postcode

Postcode

Accounts Contact name
*

Accounts email address
*

Accounts phone number
*

Amount of Credit Required
*

PO Required for invoicing
*

Yes

No

Credit Terms

All invoices are to be paid within 30 days from end of month in which the invoice is dated. It should be noted that we reserve the right to apply interest on overdue accounts at a rate of 2% per month, calculated on a daily basis on sums due from the Customer from the final due date until the date of payment.
*

I understand and agree with the credit terms of To Go Group Limited

Name
*

Position
*

Date
*