Credit Account Application

Company Details

Company Name

Trading Name

Trading Type

Group or Parent Name

Company Registration No.

VAT Number

Registered Address

Address 1

Address 2

City or Town

County

Postcode

Invoicing Address

Use Registered Address

Address 1

Address 2

City or Town

County

Postcode

Business Characteristics

Nature of Business

Year Established

Number of staff

Number of sites

Anticipated Credit Required

Monthly Telecoms Expenditure

Preferred Payment Method

Contact Details

Main Telephone No.

Website Address

Accounts Contact Name

Accounts Telephone No.

Accounts Fax No.

Accounts Email Address

Purchasing Contacts Name

Purchasing Telephone No.

Purchasing Fax No.

Purchasing Email Address

Authorised Party

I confirm that I am authorised to complete this application on behalf of my company and that we agree to Incom’s Terms and Condition of Supply, a copy of which can be found at: https://www.incomtelecoms.co.uk/terms-and-conditions/

Name

Position

Date

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