APPLICATION FOR CREDIT FACILITIES WITH LIQUIDLUST LTD

Terms Of Credit.

Once credit facilities have been established, the following terms apply in relation to all invoices / charges made against your credit account. Payment is due no later then thirty (30) days from invoice. Invoices / charges which are not settled within this period may be subject to an interest charge calculated at 2% above the bank base rate.

Set 1

Trading name: *

Registered Name and Company No.: *

VAT Registration No.:

Registered Address: *

Invoice Address (if different):

Delivery Address (if different):

Telephone:

Set 2

Length Of Time Business Established:

Type Of Business:

Name Of Accounts/Payments Contact:

Job Title:

Telephone Number:

Fax Number:

Trade Reference 1:

Trade Reference 1 Phone:

Trade Reference 1 Email:

Trade Reference 2:

Trade Reference 2 Phone:

Trade Reference 2 Email:

Bank Name & Address:

Bank Account No.:

Set 3

Print Name:

Position:

Date:

The above mentioned authorises LiquidLust Ltd. to establish a credit account in the above name and confirms to have read, and accepted the terms and conditions of trading of LiquidLust Ltd. The above mentioned agrees that the above company or organisation shall adhere to the terms of credit as detailed above.