Credit Account Application Form

The Fire Safety Shop offer businesses the facility to open a 30 day EOM credit account subject to a successful account application being received and approved. All you need to do is complete and submit the form below, we will contact you once the account application has been processed to inform you of the status of your credit account application.

Name

First

Last

Address: & company

Telephone Number:

Mobile Telephone Number:

Position Within Your Company:

Company Name:

Trading Name (if different):

Company Address:

Registered Address (if different):

Company Registration Number:

Type of Business

Accounts Contact Name:

First

Last

Invoice Address (if different from company address):

Invoicing / Statement Email:

Confirm Email

Credit Limit Required:

Terms & Conditions

Agreement to Terms & Conditions

I/We confirm that the information provided is correct. I/We agree to the company's T&C's. I/We am authorised to bind the Account Holder to this agreement by submitting the application. I/We agree to the payment terms of 30 days EOM from the invoice date.

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Credit Account Application Form