Credit Application Form

You can apply for credit from John Mitchell Office Equipment, by completing the form opposite: Alternatively, download the PDF version below... Credit Application Form file size: 135 KB

Contact Information Contact Name: Company Name: Address: Phone: Fax: Email:   Statement Information Contact Name: Company Name: Address: Phone: Fax: Email: Company Information: Company Registration No:   Account Contact: V.A.T. Registration No:   Title: Legal Structure (check all that apply) Partnership PLC Sole Proprietor Sole Trader LTD Charitable In Business Since:   Business Type: Bank References Bank Name: (1)   Bank Account Type: Bank Address:   Town/Postcode: Bank Contact:   Phone: Bank Name: (2):   Bank Account Type: Bank Address:   Town/Postcode: Bank Contact:   Phone: Trade References Company: Contact: Street: Town: County: Phone: 1) 2) 3) Authorization By ticking the box you agree to the information provided herein is a complete and accurate representation on the company's financial situation as of the date hereof, I expressly authorize JOHN MITCHELL O.E.LTD to contact the above references to determine credit worthiness. Any misrepresentation of fraudulent information will be the basis for default under this agreement.