Credit Facility Application Form

Business Details

Invoice/Billing Address

Delivery Address (if different)

Bank Details

Trade References (2 required)

Data Protection Act 1998 In returning this application form you accept that we will make a search with a credit reference agency and may share that information with other businesses for credit control purposes. We may also make enquiries about the principal directors/proprietors with a credit reference agency. We will monitor and record information relating to your trade credit performance and such records may be made available to other organisations to assess applications for credit. Information will also be used for re-assessing credit worthiness and any assistance in the collection of outstanding monies.

By signing this form, you hereby confirm that the information given is correct, and that you will notify Fusian in writing of any subsequent amendments there to. In addition you agree to abide by our standard terms & conditions of sale.

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Authorised Signature (Director/Owner)