International Specialists in Refurbished, Reconfigured and Used Midrange IT Equipment including servers, storage, features, networking infrastructure, parts and services.

We Sell / Rent / Lease / Buy / Recycle / Remarket & Dispose

Credit Account Application Form

Submitted by poweradmin on Mon, 06/14/2010 - 21:46

Company Name: *

Your company name (ltd, plc)

Trading Style: *

Registered Address:

Delivery Address: *

Invoice Address: *

Company Registration Number: *

VAT Number: *

Contact Name Purchasing: *

Tel. Number Purchasing: *

Fax Number Purchasing: *

Date Commenced Trading: *

Bank Details: *

Bank Address:

Sort Code:

Account or IBAN Number:

Bank Telephone Number:

Bank Fax Number:

Contact Name:

Trade References: *

Please provide two Trade References and include: Company Name, Address, Telephone eand contact referee

Your Accounts Department:

Please provide a contact name and telephone number for your accounts or finance department.

Powercore Terms: *

I have read and accept your terms and conditions of business.

I have read and accept your terms and conditions of business and submit the above information for opening a credit account with Powercore International Ltd.

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Credit Account Application Form