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Account Opening Application Form

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Our account application form is also available in PDF format to return by post click here [Download]

PLEASE COMPLETE ALL REQUIRED FEILDS & ALL FOUR SECTIONS BEFORE SUBMITTING THIS FORM*


  • SECTION ONE - COMPANY DETAILS
  • SECTION TWO - FINANCE ACCOUNTS DETAILS
  • SECTION THREE - LOGISTICS / PURCHASING
  • SECTION FOUR - ACCEPTANCE
COMPANY DETAILS
COMPANY NAME*
TRADING ADDRESS*
POST CODE*
REG. OFFICE ADDRESS*
NATURE OF BUSINESS
* IF SOLE TRADER OR PARTNERSHIP FULL NAMES & ADDRESS OF INDIVIDUALS
 
MAIN TEL No.
MAIN FAX No.
EMAIL*
WEBSITE URL
COMPANY REG. No.
VAT No.
PROOF OF VAT CERTIFICATE AVAILABLE ON REQUEST YES NO
FINANCE ACCOUNTS DETAILS
ACCOUNTS PAYABLE CONTACT
NAME
POSITION
EMAIL
ADDRESS
ACCOUNTS INVOICING ADDRESS INFORMATION - (IF DIFFERENT FROM ABOVE)
STATEMENTS TO BE SENT BY EMAIL FAX POST
IF POST - ADDRESS IF DIFFERENT TO ABOVE
FORECAST MONTHLY PURCHASING
CREDIT LIMIT REQUESTED (Normal billing GBP)
CURRENCY £
 
COMMERCIAL REFERENCES (PLEASE SUPPLY TWO)
1.
2.
LOGISTICS / PURCHASING
PURCHASING
CONTACT NAME
CONTACT TEL. No.
EMAIL
LOGISTICS
CONTACT NAME
CONTACT TEL. No.
EMAIL
SALES
CONTACT NAME
CONTACT TEL. No.
EMAIL
   
DELIVERY ADDRESS - IF MULTIPLE DELIVERY ADDRESSES, PLEASE PROVIDE THE DETAILS IN THIS SECTION FOR EACH
ADDRESS 1
TEL:
ADDRESS 2
TEL:
   
IF OWN COURIER PLEASE SUPPLY ALL OF THE FOLLOWING INFORMATION
COURIER NAME
CONTACT No.
ACCOUNT No.
SERVICE REQUIRED
ACCEPTANCE
CONDITIONS OF GRANTING CREDIT ACCEPTED BY THE APPLICANT
All invoices are nett, including VAT charged at the appropriate rate. Credit is granted only in accordance with any restrictions placed upon this account. Credit may be stopped if the account exceeds the agreed credit limit, or falls into arrears and further action may be taken at Reactive’s discretion. It is understood that , may contact the referees provided for information and that the account may not be opened until satisfactory references have been received. We are aware that ‘Title to Goods’ only passes upon full payment.
All credit facilities, purchase orders and sales are subject to Reactive’s standard Terms and Conditions of sale, a copy of which is attached. These are subject to change without prior notification.

On behalf of the Applicant, I/we understand and accept the Terms and Conditions, and state that I am duly authorised by the above Company to agree to this Application and give the following warranty.
 
WARRANTY
In consideration of the granting of credit facilities I/we agree to make settlement of account in accordance with standard Terms and Conditions. I/we understand and accept that should payment not be received for the total outstanding amount within the agreed payment period, that Reactive reserve the right to make a monthly 2% surcharge on the outstanding balance pending other action.
Yes I agree with the above conditions & Waranty (Please email or Fax me the form to sign)
No I dont agree
Date: Wednesday 13th of December 2017
Time: 12:48:44 PM
Your Logged IP address is: 54.82.112.193
NB *Your Signature will be required by Fax or Post. Upon us receiving this application we will email or fax you part 4 to be completed, Signed & Returned.
 





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