Credit Account Form

To open an account, please complete this form and press the send button at the bottom of the page. Subject to a satisfactory credit check, your account can be opened within a few minutes.

Section 1.
Company: *
Invoice Address:
Address 1 *
Address 2
Address 3
Town/City *
County *
Postcode *
Tel number *
Fax number
Section 2.
Delivery Address	Same as Invoice Address Different to Invoice Address
Address 1
Address 2
Address 3
Town/City
County
Postcode
Tel number
Fax number
Section 3.
Trading Style
Section 4.
Company Registration Number: *
Section 5.
Year of commencement of business: *
Section 6.
Is your company part of a group of companies?:	No Yes

Parent Company Address:
Address 1
Address 2
Address 3
Town/City
County
Postcode
Section 7.
Name and address of your company bank:
Address 1
Address 2
Address 3
Town/City
County
Postcode

Section 8.
This section is to be filled by (non limited) sole traders and partnerships:

a) Partner / sole trader home address:
Address 1
Address 2
Address 3
Town/City
County
Postcode

b) Name of Partner:
Home Address:
Address 1
Address 2
Address 3
Town/City
County
Postcode
Section 9.
Nature of Business:
Other (please specify)
Section 10.
Contact names (full names please):
Accounts *
Email *
Purchasing *
Email *
Section 11.
If there is anyone else in your company who would benefit from receiving a copy of our brochure and new product updates, please list their full names below:
Name
Position
Email
Name
Position
Email
Section 12.
Does your company wish to receive details of new products or promotions by fax or email?:	Yes No

Title to all goods supplied shall remain with Minitran until full payment has been received. Payment is due by 30th day one month following invoice date.:

Full Name *
Position *
Email *

If you agree to Minitran's Terms & Conditions, tick this box *

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Credit Account Form

Section 1.

Company: *

Invoice Address:

Address 1 *

Address 2

Address 3

Town/City *

County *

Postcode *

Tel number *

Fax number

Section 2.

Delivery Address

Address 1

Address 2

Address 3

Town/City

County

Postcode

Tel number

Fax number

Section 3.

Trading Style

Section 4.

Company Registration Number: *

Section 5.

Year of commencement of business: *

Section 6.

Is your company part of a group of companies?:

Parent Company Address:

Address 1

Address 2

Address 3

Town/City

County

Postcode

Section 7.

Name and address of your company bank:

Address 1

Address 2

Address 3

Town/City

County

Postcode

Section 8.

This section is to be filled by (non limited) sole traders and partnerships:

a) Partner / sole trader home address:

Address 1

Address 2

Address 3

Town/City

County

Postcode

b) Name of Partner:

Home Address:

Address 1

Address 2

Address 3

Town/City

County

Postcode

Section 9.

Nature of Business:

Other (please specify)

Section 10.

Contact names (full names please):

Accounts *

Email *

Purchasing *

Email *

Section 11.

If there is anyone else in your company who would benefit from receiving a copy of our brochure and new product updates, please list their full names below:

Name

Position

Email

Name