Credit application

• Your Name
• Your Email
• Company Name
• Company Tel. No.
• VAT Reg no.
• Company Reg No.
• Date Registered
• Trading Address
• Registered Address
• Invoice Address
  Please state any purchase conditions or Procedures (eg. Contact name/order no.)
• Names of executives
  Title eg. Managing Director, Director, Proprietor, etc
• Name and address of holding company
• Credit required
• Bank Reference
• Bank Name & Address
• Name of A/C
• A/C No.
• Sort Code
• How long a/c Opened
• Trade Reference 1
• Name & Address of Supplier
• Trading period with supplier
• Contact Name
• Tel No.
• Trade Reference 2
• Name & Address of Supplier
• Trading period with supplier
• Contact Name
• Tel No.
• Please tick the relevant box below to show whether you wish to pay using this facility:
  YES we will remit to Mission Express electronically
  NO we do not wish to remit to Mission Express electronically

• The company can also accept payment by credit card, which is subject to a 5% facility fee.

  I/We request that an account be opened for me/us with Mission Express Ltd, in accordance with the above particulars and confirm that I/we have read and accept your Trading Terms and Conditions.

  I/We authorise you to take up the Bank/Trade references prior to this account being opened. Your credit terms will be advised to you in writing. Mission Express Limited reserves the right to amend them as appropriate. N.B. All business will be transacted on a C.O.D. basis, until Mission Express has finalised all credit checks. We will advise you when this has occurred.

  I/We wish to accept regular service updates and the occasional special offer by email.

• Please enter in the word you see below
  

For those wishing to pay by BAC’s or TT, please note the following details:

Sterling – Receipt

Bank: ABBEY PLC, 21 Prescot Street, London E1 8TN
Bank Account Number: 37836454
Bank Code: 09-01-27
Beneficiary: Mission Express Limited