Fortress Technology (Europe) Ltd

The Phantom Building

7 Beaumont Road
Banbury, UK
OX16 1RH

CUSTOMER ACCOUNT APPLICATION FORM

SECTION 1: YOUR COMPANY INFORMATION

Please fill in your contact information below:

Company Registration No.
Full Name of Company
43730586
SQUADRA, Limited Liability Company
Business Address (if different)
Registered Address

01011, Kyiv, Rybalska street, building 13, office 4. Ukraine

SECTION 2: STATUS

(Please tick one box only)

Limited Company Partnership Sole Trader Other (please specify)

SECTION 3: SOLE TRADERS AND PARTNERSHIPS

Please provide the full name, home address and telephone number of the Principal (where sole trader) and every partner in the firm.

Name
Name
Spytskyi Oleh

Telephone no.
Telephone no.
+38(073)56-777-65

Name
Home address
Darya Kryzhanovska

Telephone no.

+38(095)439-18-53
 Home address

Home address

www.fortresstechnology.co.uk

Registered Office “Old Bartons”, High St, Shutford, Oxon, OX16 6PQ Registered in England & Wales No. 3811425 T: +44 (0)1295 256266 F: +44 (0)1295 255987

SECTION 4: BUSINESS DETAILS

SECTION 5: TRADE REFERENCE INFORMATION
Invoice Address (if different from 1 above) VAT No

Squadra LLC 437305826553

Rybalska Street
01011 KIEV Telephone
UKRAINE
+38073 56 777 65

Fax
Accounts Contact Name

Oleh Spytskyi

Email
Anticipated Credit Limited Required
squadra.dir@gmail.com
£

Please list information for TWO companies that you authorise us to contact for a Trade Reference.
(Note: these should be suppliers who extend credit to your company)

Name of Company Name of Company

Contact Name Contact Name

Telephone Telephone

Fax Fax
 Address
Address

Email
Email

Simple Operation Outstanding Reliability Exceptional Performance

SECTION 6: OTHER INFORMATION

Any other relevant facts which may affect your credit worthiness

CTION 7: CONSENT

This consent form hereby authorises the companies named in Section 5 to supply Fortress Technology (Europe) Limited
with information regarding their opinion on the credit worthiness of our business. This information is essential to the
extension of credit to our business. We understand that any information provided will be used solely to evaluate our
credit worthiness.

Signature of applicant Fortress Technology (Europe) Ltd

The Phantom Building
7 Beaumont Road
Name (in block capitals) Banbury, Oxon
OX16 1RH
OLEH SPYTSKYI

@fortresstechnology.com
T: 01295 256266
F: 01295 255987
SECTION 4: RETURN INFORMATION
Position in company/firm

Date: Director

For the attention of: Date

Simple Operation Outstanding Reliability Exceptional Performance