YOUR COMPANY DETAILS    
Company Name  
Company
Invoice
Address
Street Address 1  
Street Address 2  
City  
State/Province/County  
Post/Zip Code  
Country  
Accounts Contact Name  
Accounts Tel No  
Accounts Email  
Purchasing Contact Name  
Purchasing Tel No  
Purchasing Email  
Company
Registered
Address
 
Street Address 1  
Street Address 2  
City  
State/Province/County  
Post/Zip Code  
Country  
Company National Registration No  
Company VAT/Tax Registration No  
Year Company was formed  
Currency you want account opened in
 
Your general business activity  
ABOUT YOUR BUSINESS WITH LCM SYSTEMS  
Anticipated annual business with LCM Systems  
Credit Limit you wish to apply for  
CREDIT APPLICATION DECLARATION  
We understand and accept that all orders are placed into in accordance with LCM SYSTEMS LIMITED terms and conditions of sale. We also confirm that payment for goods supplied will be made according to the Credit Terms agreed

Terms & Conditions can be viewed from the link below
 
Click here to view our terms and condition in a new browser tab  
I certify that I am authorised to enter into this agreement on behalf of the company that I have provided the details for above
 
Your name  
Your Tel No  
Your email address  
Your position in company  
Date application completed  
 
 
For Internal Use Only  
Credit Agency checks performed? YES/NO  
Credit Account application approved? YES/NO  
Amount account approved for    
Application Approved By Helen Cornish / Steve Sargeant  
Customer email sent to confirm decision YES/NO