Online Contact Form Application for Credit Facilities COMPANY DETAILS: Company name Company website (if any) Adress (registered office) Adress (trading office) Accounts contact E-mail Phone number Company status Started trading Company reg. no. VAT number Number of employees Nature of business Monthly credit required Currency GBP EUR TRADE REFERENCES: Please supply three trade references with whom you have been trading for a minimum of two years. 1) Company name Company website or adress Accounts contact E-mail Phone number 2) Company name Company website or adress Accounts contact E-mail Phone number 3) Company name Company website or adress Accounts contact E-mail Phone number Please note by signing this credit application you are agreeing to the following: 1. To settle in full all accounts within the credit terms of Anglo-Pol European Transport Ltd, i.e. by a bank transfer within the timescale specified on approval of this credit application. 2. To authorise Anglo-Pol European Transport Ltd to make enquiries to the above mentioned trade referees. I accept Anglo-Pol European Transport Ltd Trading Conditions, apply for the Company Credit Facilities and declare that all the information given is correct. Full name Position E-mail Phone number Date Send To send the form please complete all highlighted fields.