Account Request Form

Britannic logoPlease Complete This Form and send it to:

Britannic Garden Furniture Limited, Costers Close, Quarry Road, Alveston, Bristol, BS35 3HZ, United Kingdom

Fax 01454 417941

Company Name:

Address


Post Code:

Tel:
Fax:
Email:
Registered Office Address (if different from above)

Type of Business

Company Registration Number
Sales Contact Name
Accounts Contact Name

Names/Addresses of Properties

Bank Details (Name & Full Postal Address)

Sort Code
Account No.:
Please provide Two Trade References,
1. Name
Address

Tel:
Fax:
2. Name
Address

Tel:
Fax:
Monthly Credit Required:
Signed:


Date:

Position:
Print Name:

The completion of this form does not constitute or infer acceptance on account terms. Further information may be required. We reserve the right to decline account facilities. Payment terms, strictly 30 days net.