MPSI House, 57 Woodroffe Drive

Registered Office:

MPSI House, 57 Woodroffe Drive

Basingstoke, Hampshire, RG22 6NH UK

Tel: +44 (0) 1256 817933

Fax: +44 (0) 8707 625402

02 October 2018

Website Credit Application

Dear Sir or Madam,

Thank you for requesting a credit account with MPSI.

Please would you be kind enough to complete the brief credit application form overleaf both for our records & so that we may open up an account for your organisation.

Thank you for your custom, we look forward to a long and mutually successful business relationship.

Yours Sincerely,

Kind Regards, Accounts Department

MPSI Limited

Full Trading Name/s of Applicant:
Trading Address:
Tel:
Fax:
Year of Incorporation:
Company Registration Number:
VAT Registration Number:
Company Bank Name:
Company Bank Address:
Account Number:
Sort Code:
TRADE REFERENCE 1:
Name, Address, Tel & Fax of a Principal Supplier to your Company
TRADE REFERENCE 2:
Name, Address, Tel & Fax of a Principal Supplier to your Company
Credit Limit Sought:
Accounts Contact Name:
Accounts Contact Email:
Accounts Contact Tel:

Declaration by Credit Applicant:

I/We agree to be bound by MPSI Limited Standard Terms & Conditions of Sale (available upon request) and agree to make settlement of accounts due within 30 days end of month followingdate of invoice. Credit facilities may be stopped or withdrawn if the account exceeds the agreed limit, or falls into arrears. MPSI reserves the right to exercise our statutory right to claim interest andcompensation for debt recovery costs under the late payment legislation if we are not paid according to the agreed credit terms

Reservation of Title. Property in the goods shall only pass to the customer from the date of full settlement of all sums payable in accordance with clause 6 of MPSI Standard Terms and Conditions of Sale.

I/We certify that I/We are an authorised representative of the company and that the information in our application is true and correct. Only English Law applies.

Name:
Position:
Date Authorised:
Signature:

Website: Registered in EnglandWales 5274990, VAT GB 849 2704 02