Account Application Form

Important: Please make sure you have a printer connected before completing this form.

Please Note: Our terms of payment are that goods purchased in month 1 must be paid for by the end of month 2. Also goods remain the property of Sellec Special Cables Limited until paid for in full.

Company Information

Company Name:
Address:
Post Code:

Credit Required:
Telephone Number:
Fax Number:
Company Reg. Number:
Date Incorporated:

Bank Information

Bank Name:
Bank Address:

Account Number:
Sort Code:

Trade Reference 1

Trade Ref. 1:

Telephone Number:
Fax Number:
Contact:

Trade Reference 2

Trade Ref. 2:

Telephone Number:
Fax Number:
Contact:

Your Information

Name:
Signature:

Position:
Date:

Please print out this page and send it to us at:

Sellec Cables Ltd.
Dukeries Way
Dukeries Industrial Estate
Worksop
S81 7DW

Abandon Account Application Form