Welcome To The Lewmax - Device Programming, Reeling Specialists - Lewmax Programming Limite, Rothley, LE7 7PJ,United Kingdom


	CREDIT APPLICATION FORM

COMPANY DETAILS

COMPANY NAME
COMPNAY ADDRESS		CONTACT NAME
		EMAIL ADDRESS
		TELEPHONE NO
POST CODE		FAX NO
COMPANY REG. NO.		VAT NO

NATURE OF BUSINESS

ACTIVITIES	Distributor OEM CEM
PERIOD OF TRADING UNDER CURRENT NAME	YEAR MONTH	NUMBER OF EMPLOYEES
DIRECTOR OR PARTNERS NAME		EMAIL ADDRESS
PURCHASING MANAGER		EMAIL ADDRESS
BUYER		EMAIL ADDRESS
ACCOUNTS		EMAIL ADDRESS

FINANCIAL DETAILS

BANK NAME		ACCOUNT NO
BRANCH		SORT CODE
ADDRESS		PREFERED CURRENCY GBP £ EURO € US $
		MAXIMUM CREDIT REQUIRED FOR AGREED PERIOD

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TRADE REFERENCES

COMPANY NAME		COMPANY NAME
ADDRESS		ADDRESS


POST CODE		POST CODE
ACCOUNT NO		ACCOUNT NO
CONTACT NAME		CONTACT NAME
EMAIL ADDRESS		EMAIL ADDRESS
TELEPHONE NO		TELEPHONE NO
FAX NO		FAX NO

DECLARATION

We request that Lewmax Programming Ltd facilities for our above named company. We confirm receipt of Lewmax Programming Ltd Terms and Conditions of Sale and that orders places will be in accordance with these terms

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