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Please fill in your details below.
Your Company Information
*
Company name/reg no
*
Contact name
*
Contact position
*
Email Address
*
Confirm Email Address
*
Telephone Number
(without spaces)
*
Description of trade
Turnover
*
Financial Year to date: £m
*
Year End: £m
*
Last Financial Year: £m
*
Previous Financial Year: £m
Major Clients
(By value of outstanding credit)
Name
Location
Company reg no.
Credit Limit Requd.
1
2
3
4
5
6
7
8
9
10
*
Approx number of live clients requiring credit limits above £5,000
*
Normal credit terms offered
days before end of
month
date of invoice
Bad Debt Losses
This financial year
Last financial year
Prev financial year
Total Losses
Number of Losses
Largest Individual debt
*
Indicates a required answer