Credit Appliction Form / Client Information
Company Name:
Trading As:
Reistration No:
Customs Code:	Importer: Exporter:
VAT Registration No:
Physical Address:
Postal Address:
Contact No:	Tel No: Fax No:
Nature of Business:
Name of Holding Company:
Name of Previous Clearing Agent:
Directors: Name: Email: ID No: Managing: Financial: Shipping: A/C Contact:
Service Required
Imports: Exports: Domestic:
Payment Terms

Funds in Advance:		7 Days from date of:
30 Days from statement:		Other:
Credit Limit Requiried:
Bank:
Branch:
Account No:

 

Trade References
Name:	Tel No:	Contact:	Monthly Purchases (Ave):

 

I Agree to the Terms and Conditions

 

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