Account Form

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  (Please note that all details on both page 1 & 2 must be completed.Failure to do so may delay the approval of this application)RETURN THIS FORM TOPARKER MOTOR SERVICES LTDCENTRAL ACCOUNTS OFFICE714 MELTON ROADTHURMASTONLEICESTER LE4 8BD DATE OF APPLICATIONBRANCH NAMECREDIT LIMIT REQUIRED BUSINESS DETAILS Full Business Name««««««««««««««««««««...Full Trading Address....................................................................................................................................................................................................................................Post Code«««««««Nature Of Business«««««««««««««««««««.Telephone««««««««Fax«««««««« Please complete the section opposite, appropriate to your business Contact Name/Name of person responsible for the payment of this account:-«««««««««««««««««««««..............Telephone««««««««Fax«««««««« Address to where statements are to be sent (if different to above).................................................................................................................................................................................................................................... BANK DETAILS Bank Name........................................................................................................................................................««««««««««««««««««««... AddressPost Code«««««««Telephone««««««««Sort Code«««««««« Account Number ««««««««LIMITED /PLC COMPANYRegistered Number ««««««««Year of Registration«««««««« Address of Registered office««««««««««««««««««««««««........................................................................................................................................................................Telephone««««««««Fax««««««««If you are s subsidiary or part of another groupof companies, please give the name of your Parent/ Holding CompanyRegistered Number NON LIMITED/PLC COMPANY/BUSINESSNumber of Proprietors/Partners««««««««Year business started««««««««Full Name of Proprietor/Principle Partner ««««««««««««««««National Insurance Number««««««««Full Private Address of Proprietor/Principle Partner ........................................................................................................................................................................Post Code«««««««Telephone««««««««Fax««««««««  APPLICATION FOR A CREDIT ACCOUNT  TRADE REFERENCES: 1) Name«««««««««««««««««««««««««««««««««.. Address«««««««««««««««««««««««««««««««««..«««««««««««««««««««««««««««««««««..Contact Name««««««««««««««««..2) Name«««««««««««««««««««««««««««««««««.. Address«««««««««««««««««««««««««««««««««..«««««««««««««««««««««««««««««««««..Contact Name««««««««««««««««..PLEASE NOTE THAT IF CREDIT FACILITIES ARE GRANTED YOU ARE REQUIRED TO NOTIFY US(PARKER MOTOR SERVICES LIMITED) IMMEDIATELY OF ANY CHANGES IN THE INFORMATIONSUPPLIED ON PAGE 1. FAILURE TO DO SO MAY RESULT IN CREDIT FACILITIES BEINGWITHDRAWN WITHOUT NOTICE. PLEASE ATTACH A BUSINESS LETTERHEAD TO THIS APPLICATIONDECLARATION The details I have provided herein are true and accurate to the best of my knowledge and believe.I am authorised to make this application on behalf of the business named on page 1.I agree that if a Credit Account is opened, payments will be made to you on your started creditterms (which will be separately notified to me or my authorised agent and agreed in writing).I agree that until a Credit Account is opened with you, payments will be made in cash on receipt of your invoice.Signature ««««««««««««««««..Full Name (Please print)««««««««««««««««..Position««««««««««««««««..Date««««««««««««««««..I consent to our bankers (as named on page 1) providing a reference on me/us/the Company toParker Motor Services Limited.Signature ««««««««««««««««.. (you must be an authorised signatory as per bank mandate) Full Name (Please print)««««««««««««««««..Date««««««««««««««««.. Please note that if you pay by credit card you will incur a charge of  2%+vat for the total amount youare paying. Standard trade terms are all invoices to be paid within 30 days month end.
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