Credit Form - ACC Worldwide

New Account Application

Contact Information

Name(Required)

First Last

Work Email(Required)

Work Phone(Required)

Business Information

Company Registered Name(Required)

Company Registered Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Company Registration Number(Required)

Type of Business(Required)

Are you VAT registered?(Required)

VAT Registration Number

Different Trading Address(Required)

Is your trading address different to your company registered address?

Trading Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Accounts Department

Accounts Department Contact Name(Required)

Accounts Department Email(Required)

Accounts Department Phone(Required)

Different Accounts Department Address(Required)

Is your Accounts Department address different to your business/company address?

Accounts Department Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Credit Agreement

All invoices must be paid in accordance with invoice terms of payment.
Any claims regarding an invoice issued must be made within 7 days of the date issued.
Your credit application authorises ACC to check bank and business references provided by yourselves.

Company Representative

By entering your first and last name below, you confirm that you are submitting this form voluntarily and on behalf of your company, and that your typed name serves as your legal signature, indicating your acceptance to ACC Worldwide's (ACC Shipping Ltd) credit agreement to perform a credit check as part of your application to open an account with us.

Name

First Last

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Date

Notes & comments

Notes & Comments