APPLICATION FOR ACCOUNT FACILITIES

Company

Address1

Address 2

Town/City *

Postal Code *

Country *

Telephone *

Email *

Website

Nature of business *

Co. Registration No. *

VAT No. *

Years of Trading *

Requested Monthly Credit (£) *

Managing Director *

Financial Director *

Person in charge

Partners *

Bankers *

Branch *

Telephone *

Sort Code

Account Name *

Account Number *

Trade References *

Trade Telephone *

Facsimile *

Contact

Telephone *

Facsimile

Contact *

I understand the above notes. I authorise Planet Couriers Ltd to approach our Bankers and trade referees for a reference. I have read and agree to all theTerms and conditions