08 February 2012
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Tel: +44 (0) 121 789 9999
info@contacttransport.com
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Create Account - Application Form
Company Details
Company Name:
Address:
Company Reg No.
VAT No.
eTransport Login:
I would like to have access to eTransport
Trade References
Company Name:
Address:
Tel No:
Company Name:
Address:
Tel No:
Credit Required
Amount Required:
£
Based on credit checks completed by the company, credit limits will be verified and confirmed to you in writing at the time of the account being opened.
Agreements
BY SIGNING THIS FORM YOU ARE ACCEPTING OUR STANDARD TRADING TERMS OF 30 DAYS NETT
THE COMPANY RESERVES THE RIGHT TO WITHDRAW CREDIT FACILITIES WITHOUT NOTICE
Signed:
Position:
Date:
Tel No:
BOOKINGS CANNOT BE TAKEN UNTIL A CREDIT ACCOUNT HAS BEEN OPENED, CREDIT CARD PAYMENTS ARE ACCEPTED TO ASSIST WITH FIRST BOOKING PRIOR TO ACCOUNTS BEING OPENED