Address : 46 Hallam Street
Balsall Heath
Birmingham
B12 9PS
Telephone : 01214403203
E- mail : sales@dpsembroidery.co.uk
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ACCOUNTS APPLICATION FORM       Click here to download our New Account Application Form
       Please return with a copy of your letterhead
  COMPANY NAME :
  ADDRESS :
  POSTCODE :
  TEL No. :
  FAX No. :
  E-MAIL ID :  
  ACCOUNTS CONTACT :
  SALES CONTACT :
  DATE FORMED: : dd/mm/yyyy
  VAT NO. :
  COMPANY REG. No. :
       
 
PLEASE STATE THE NATURE OF YOUR BUSINESS :
AFFILIATED COMPANIES :
PLEASE GIVE THE DETAILS OF ANY AFFILIATION, e.g. BPMA, PROMOTA, PSI, ISP, PAGE, GCG :
IS THE ABOVE THE FULL LEGAL TRADING STYLE OF THE COMPANY ? :
IF NO PLEASE GIVE DETAILS :
     
  CREDIT LIMIT APPLIED FOR :
 
BANK :
ADDRESS :
     
ACCOUNT No. :
SORT CODE :
TEL No. :
   
  Trade References : (Please print details clearly in capital letters)
 
NAME :
ADDRESS :
TEL No. :
NAME :
ADDRESS :
TEL No. :
   
 
UNTIL A CREDIT LINE HAS BEEN ESTABLISHED, INITIAL ORDERS WILL BE
SUPPLIED ON A PRO-FORMA BASIS
   
  I CONFIRM THAT THE ABOVE PARTICULARS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND
ACKNOWLEDGE THE CONDITIONS OF SALE
ATTACHED.
 
SIGNED :
NAME IN CAPITALS :
POSITION :
DATE :
   
 

 
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