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Credit Account Application
Print and Complete Form, post to :
Valuecabs, 16 Wellington Park, Belfast, N.Ireland. BT9 6DJ
Address Line 1
.....................................
Telephone No.
 ........................................  
Address Line 2
.....................................
Fax No.
 ........................................  
Town / City
.....................................
Accounts Contact
 ........................................  
County
.....................................
Accounts Password
 ........................................  
Postcode
.....................................
 Monthly Credit Limit Required ........................................  
Full names of Proprietor or Partners if not a limited Company:
.....................................

......................................
Bank Reference
 .......................................  
Name and address to which accounts are to be sent:
............................................

............................................
Credit Card Type
.......................................
  
Trade Reference (1)
............................................
Card Name
.......................................
  
Telephone No.
............................................
Card Number
.......................................
  
Trade Reference (2)
...........................................
Expiry Date
........................................
  
Telephone No.
..........................................
      
         
  I/We Authorise references to be taken from the above named Companies in support of our application for credit facilities    
 
Signed
.................................
  
 
Date
.................................
  
 
Position
................................
  
 
This Account is Subject to a 12% Administration Charge
BACK TO VALUE CABS
     
ALL CALLS ARE RECORDED FOR TRAINING AND SECURITY
VALUECABS is a member of the McCausland Group of Companies which have almost 90 years experience in the Northern Ireland Business Sector.