You are on page 1of 1

DATASOUND LABORATORIES LTD.

Tel : +44 (0)1462 675530


Fax: +44 (0)1462 482461
Email : Accounts@dsl-ltd.co.uk

Credit Account Application Form


1 Trading Name and Address Post Code

Tel No
Fax No

2 Description of Business

3 Registered Name and Registered Office Address Post Code

Tel No

Company Registration Number

4 Full Name and Contact Address of Two Directors or Partners or Sole Trader
Name Name
Address Address

Post Code Post Code


Tel No Tel No

5 Contact Name
Accounts Finance Director
Tel No Tel No
Buyer/Ordering Financial Controller
6a
Tel No Tel No

6a Email Address for Order Acknowledgements

6b Email Address for Invoices

6c Email Address of Statements

7 Trade Reference Name and Address


Contact Contact
Company Company
Address Address

Post Code Post Code


Tel No Tel No

8 Approx. Amount of Credit Required per Month £

Signed ______________________________ Date ____/_____/_____

Print Name ______________________________ Position __________________________

NOTE: BY SIGNING THIS DOCUMENT YOU FULLY ACCEPT DSL’S 30 DAY PAYMENT TERMS TAKEN FROM
INVOICE DATE.
WE WILL SHORTLY BE SENDING ALL ORDER ACKNOWLEDGEMENTS AND INVOICES VIA
E-MAIL TO THE ADDRESS SPECIFIED.
102-030 Issue 6, 09/06

Related Interests