Company Registration No: 71487
Applicants Full Name*
Registered Company Name & Number
Address To Which Accounts Are To Be Sent*
If Less Than 3 years At Present Address, Please Provide Previous Address
Email Address For Invoices & Statements
Name Of Bankers
Credit Limit Requested
I/we, confirm that I/we have read and understood the terms, conditions and guarantee that all the information contained herein is complete and accurate.
(Applicant 1) Name*
(Applicant 1) Signature*
(Applicant 2) Name
(Applicant 2) Signature
I hereby authorise D&O (C.I.) Ltd to contact my stated Trade References with the below questions and In acknowledgement that any personal data provided by me to D&O (C.I.) Ltd, or received by D&O(C.I.)Ltd from any third-party Trade References, will be proceeded only in accordance with the terms of the D&O (C.I.) Ltd Privacy Notice (a copy of which can be provided upon request).
How long has this Company traded with you?
Have they traded with you in the last 6 months
What are their agreed payment terms with you?
Do they adhere to these terms?
I hereby accept the Payment Terms of 30 days from month end and all the above.