Spirit Circuits

Application for Credit Facility

Fill out this form to apply for an account

Company Details

1. Full Company Trading Name:
2. Registered No:
3. VAT Reg No:
4. Website:
5. Postal Address:
9. Postcode:
10. No of Years Trading:
11. Annual Turnover:
12. No of Employees:
13. Please provide a brief description of your Company's activities:

Purchasing Contact

1. Contact Name:
2. Telephone:
3. Position:
4. Telephone:
5. Fax:
6. EMail:

Accounts Contact

1. Contact Name:
2. Position:
3. Telephone:
4. Fax:
5. EMail:

Financial Details

1. Bank:
2. Amount of Credit Required per Month:
3. Branch Address:
4. Sort Code:
5. Account Number:

Note: Our standard credit terms are 30 days from date of invoice - see note 3 below

ADDITIONAL INFORMATION - Please supply the following:

1. Original/Copy of your Company Letterhead.
2. * If you are a partnership/sole trader, please supply names and home addresses of all partners.
3. Extended credit terms may be offered subject to receipt of a written application. Please note that extended terms may reduce your overall credit limit.

Thank you for taking the time to complete this form. Please return the additional information by Post or Fax to:

• Steve Wiggins
• 22-24 Aston Road
• Waterlooville
• Hampshire
• PO7 7XJ
• Tel: +44 (0) 23 92243000
• Fax: +44 (0) 23 92268041
• E-mail: s.wiggins@spiritcircuits.com

Confirmation

1. Your Name:
2. Position:
3. Date:
4. I confirm that I have received/downloaded a copy of Spirit Circuits Ltd Terms and Conditions of Sale