Emerald Freight Credit Application

COMPANY DETAILS

Full Registered Name:

Trading Name:

Date of Incorporation:

Registration Number:

Vat Number:

Vat 13B Registeration Number:

Trading / Billing Address:

Registered Company Address:

CONTACT DETAILS

Telephone Main:

Email Main:

Fax Main:

Telephone Accounting:

Email Accounting:

Fax Accounting:

Managing Director:

Email :

Finance Manager:

Email :

Traffic/Shipping Manager:

Email :

ACCOUNT REQUIREMENTS

Estimated Credit Required per Month : €

COMPANY BANK DETAILS

Bank Name:

Address:

Account Number:

Sort Code:

TRADE REFERENCES FREIGHT / TRANSPORT COMPANIES PREFERABLY

Supplier Name:

Address:

How long?

Phone:

Email :

Fax:

Contact:

Position:

Supplier Name:

Address:

How long?

Phone:

Email :

Fax:

Contact:

Position:

IMPORTANT INFORMATION

CREDIT TERMS:

• All invoices become due 30 days from date of invoice excluding Vat & Duties which are subject to immediate settlement

• All business transacted is subject to the term of our Standard Trading Conditions available on our website www.emerald-freight.com

Signed:

Date:

• Payment of account may not be held against insurance claims:
• We do not insure your goods however we can arrange Cargo Insurance cover upon request and subject to payment
of the appropriate insurance premium.
• If your account exceeds the agreed credit limit a payment on account will be required to bring your account into line
• Failure to comply with the agreed terms may result in your credit terms being revoked

CONTACT INFOMRATION FOR SENDING INVOICES & STATEMENTS

Invoices:

Email :

Statements:

Email :

Special Billing Instructions:

DECRALATION

I hereby acknowledge the above, which I have read, understood and accept:

Authorized Signature:

Date:

Print Name:

Postion :

"By using this Website you agree with the storage and handling of your data by this website."

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