Open Account

CREDIT APPLICATION FORM
Form to be completed, signed and posted to :
The Electric Incentive Company Ltd. Bakers Lane, Black Notley, Braintree. Essex. CM77 8QS.
To be completed By Customer
Sales Contact :
Accounts Contact :
Registered Company Name :
Address :
Tel.No. :
Fax :
E-mail :
Company Reg. No. :
VAT No. :
Expected Annual Turnover(£) :
Delivery Address :
(if different from above)
Bank Name & Address : E-mail :
Tel :
Fax :
Account No : sort code :
PLEASE SUPPLY WRITTEN PERMISSION TO CONTACT YOUR BANK FOR A REFERENCE
1st Trade Reference : 2nd Trade Reference :
I am authorised to and I accept the terms and conditions stated overleaf on behalf of:
(please note that the account will be closed if not utilised within a 3 month period)
COMPANY_______________________________________________________________________
SIGNATURE________________________________________  DATED_________________
New accounts will have to trade for a period of 3 months before Credit facilites can be offered.
EIC USE ONLY
INFOCHECK REPORT   2nd TRADE REF ATTACHED  
BANK REF PERMISSION   ACCOUNT OPEN DATE  
BANK REF ATTACHED   CREDIT LIMIT  
1st TRADE REF ATTACHED   TERMS