intermedia
VAT No: 817 5303 38 | Co. Reg No: 4745039

Please complete and return to:

Intermedia Communication Solutions @ info@intermedia-cs.co.uk

or post to: 11 Webster way, SANDOWN, PO36 0HS, UK

Tel: +44 (0)1992 878312

Trade Credit Account Application Form


COMPANY DETAILS


BANK DETAILS


PERSONNEL DETAILS


NAME & ADDRESS OF TWO PRINCIPAL SUPPLIERS IN UK


PLEASE STATE CREDIT LIMIT REQEESTED


Up to £1,000  

Up to £2,000  

Up to £5,000  

Up to £10,000  

I have read and accept Intermedia Terms of Service:

*By signing this form you are agreeing to Intermedia contacting the principal suppliers provided above, taking up bank references and conducting credit checks with credit reference agencies, or any other agency as deemed appropriate by us.

Credit checks will be carried out periodically whilst your account is active with us. This may have an affect on the credit limit given.