Credit Application Form

Please complete all relevant sections of the application form and click submit. Alternatively, click here for a PDF of this form, print and fax to our accounts department on 01782 344054.

Company Name

Ltd PLC Partnership Sole Trader Other (please specify)

Reg No Date Established

Credit Required (£'s) Type of Business

No of Office Workers Annual Turnover

Anticipated Annual Spend

Invoice Address Line 1

Invoice Address Line 2

Town County Postcode

Telephone No Fax No

Delivery Address Line 1

Delivery Address Line 2

Town County Postcode

Accounts Contact Telephone No

Purchasing Contact Telephone No

Email Address

PERSONAL GAURANTEE (FOR SOLE TRADERS & PARTNERSHIPS ONLY)
"In accordance with the terms & conditions, I hereby personally guarantee that all sums due at any time to J G Fenn Limited & not paid as required, will be paid in full by me on demand"

I Agree with the information in the personal Guarantee as given above (To be confirmed by authorised person only)

CONFIRM NAME

FOR ALL APPLICATIONS
Please note all orders are accepted in accordance with our Terms & Conditions of Sale, as reproduced on the back page of our catalogue (a copy can be provided upon request). Please confirm your acknowledgement and acceptance of these terms.

I agree with the information given For All Applications above (To be confirmed by authorised person only)

CONFIRM NAME

TODAYS DATE

J G FENN LTD
WEST COURT, RIVERSIDE PARK
CAMPBELL ROAD, STOKE ON TRENT ST4 4FB