Online credit application for freight globally.

Gondrand Credit Application Form

Please complete the boxes in the following form:

This is a:

New Account
Change of Address
Change of Title

To be completed by customer

Full Legal Trading Title:

Vat No:

Are you a:

Sole Trader
Partnership

Company Reg No:

Date Formed:

Statement Address:

Postcode:

Delivery Address:
(if diffrent from above)

Contact Name:

Email:

Telephone:

Fax:

Method of Payment:

Direct Debit
BACS
Credit Card
Details will be sent later

To be completed by customer

I/We request you to open a Credit Account in the above name, with a credit limit of:

� per month

I am:

Importing:
Exporting:

Quoted cost of 1st Consignment:

Date of Consignment:

References
The Data Protection Act 1998 requires us to obtain your consent to carry out a credit check with a credit reference agency before accepting this application. Where you are a Director/Partner, we mat carry out personal credit checks on all Co-Directors. We further reserve the right to make credit checks during the opertaion of your account. Further references will be sought from the below sources (please complete).

Accountants Name:

Accountants Address:

Bank Details

Bank Name:

Branch Sort Code:

Account Name:

Account No:

Bank Address:

Bank Postcode:

For Non-Ltd Customers, please complete below

Directors Name:

Directors Address:

Gondrand UK Rep Name:

Branch Ref:

Your attention is drawn to the Group credit terms:
1)Accounts are payable within 30 days of issue of invoice.
2)Accounts for Duty, V.A.T and Disbursements are payable immediately.

By pressing the 'Submit' button you will confirm:
1)Your acceptance of our current terms and conditions (British International Freight Association Standard Trading Conditions 2000), available on request.
2)You understand that your goods are not INSURED unless you request "full all risk" cover/marine policy writing, in which case a premium will be charged at current rates.

I agree to Gondrand UK's terms and conditions

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