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   BASINGSTOKE BOLT & TOOL 
 Armstrong Road, Basingstoke, Hampshire, RG24 8NU 
 T: 01256 329781 Fax: 01256 817150 E:sales@basingstokeboltandtool.co.uk
 APPLICATION FOR CREDIT ACCOUNT
 
 Company Name : ……………………………………………………………… 
 Invoice Address : …………………………………………………………… ……………………………………………………………… ……………………………………………………………… ……………………………………………………………… 
 Tel No : ………………………… Fax No : ………………………….. 
 Contact : ………………………… Accounts : ………………………….. 
 Email: .................................................................................................................... 
 Monthly Credit Requested : ……………………. 
 1st Trade Reference : ………………………………………………. ……………………………………………….. ……………………………………………….. ……………………………………………….. ……………………………………………….. Fax No: …………. 
 2nd Trade Reference : ………………………………………………. ………………………………………………. ………………………………………………. ………………………………………………. ………………………………………………. Fax No:…………. 
 Bank Reference : …………………………………. …………………………………. …………………………………. 
 Account No : ……………….. 
 
 Signature :……………………………….. Date: ……………………… 
 Position in Company :…………………………………  | 
 
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