Gourmet Oriental - DimSum, Thai, Chinese, Japanese, Food , Take-Away, Delivery, London, Chelsea, Richmond, Maida Vale

Credit Application

Company or Organisation
Name:		Invoice Address: (if different)
Address:		Postcode:
Postcode:		Telephone:
Telephone:		Fax:
Fax:		Email:
Email:		Contact Name:
Limited:		Company Reg. No:
Partnership:		Name of Partners:
Government:		Name of Partners:
Bank Details
Account Number:		Bank Name:
Sort code:		Branch:
Trade References
Name:		Name:
Address:		Address:
Postcode:		Postcode:
Telephone:		Telephone:
Fax:		Fax:
Credit Limit Required:		Name in Capitals:
Position:		Date:
Once satisfactory references have been received your account will be opened.

[X]