Please Note: As additional security layer, this form uses IP Address tracking; your IP Address is:38.107.191.101
Company Name :
Credit Reference : CRE-ID 284520
   

Important: Please fax a copy of your companies headed paper/ letter head with above credit reference number to 01 864 58 10.
Business Type :
Ltd Company Sole Trader Partnership
Invoice Address :
Phone Number :
Fax Number :
Company Email :
Contact (Kitchen) :
Contact (Accounts)  
VAT Reg. Number :
Years in Business :

BANK DETAILS
-----------------------------------------------------------------------------------------------------------------------------
Bank Name :
Bank Address :
Acc. Holder Name :
Sort Code :
Account Number :
     
TRADE REFERENCES (These must be completed in full)
-------------------------------------------------------------------------------------------------------------------------------
Name : Name :
Address : Address :
Phone : Phone :
Contact : Contact :


DIRECTORS
--------------------------------------------------------------------------------------------------------------------------------
Name : Name :
Address : Address :
Phone : Phone :


TERMS: Payment due two weeks from end of month
I/We apply for credit facilities as outlined above and hereby authorise you to apply for credit refences from the referees outlines above. I/We agree to the terms and conditions of sale governing trading with FRESH POINT and also to payment if our account within he above credit limit.

IMPORTANT: Please download Direct Debit Mandate form (Click Here) and post completed form to : FRESHPOINT LTD, 10 Bellevue Industrial Park, Tolka valley Road, Finglas South, Dublin 11.
I/We Agree to Terms and Conditions
Signed By :
Position :
     
 
   
 
 
   
 
© Copyright 2007. Fresh Point
 
 
Designed By ITExpertSolution