F2 Medical Supplier Credit Account Application Form Instructions
- June 13, 2024
- F2 Medical
Table of Contents
F2 Medical Supplies Limited
11 Midland Street – The Cultural Quarter
Leicestershire
LE1 1TG
Telephone: 0116 319 1182
Email: [email protected]
Supplier Credit Account Application Form
BUSINESS CONTACT INFORMATION
Company Registration Reference| | Trade Contact Name|
---|---|---|---
Company name| | Sole proprietorship
Partnership
Corporation
Other| Delivery Address:
(If different to registered company address)
Telephone Contact|
E-mail|
Registered company address*|
ACCOUNTS AND CREDIT INFORMATION
Main Contact| | PLEASE NOTE: All invoices and statements will be issued to
the email address provided as your accounts contact. If you wish to alter this
anytime or require postal copies, please inform F2 via
[email protected].
---|---|---
Accounts Telephone Contact|
Extension (If Applicable)|
Fax| | Account Reference:| To be confirmed by F2 Medical Supplies Ltd.
Accounts E-mail*| |
Type of account| Credit| Ref| Supply Of Goods
AGREEMENT
- All invoices are to be paid 30 days from the date of the invoice unless confirmed otherwise with an account manager and authorized by F2.
- Claims arising from invoices must be made within seven working days from the invoice date. Additional information can be found on your invoice copy.
- By submitting this application, you agree to the Terms and Conditions as provided by F2 Medical Supplies Ltd and authorize F2 Medical Supplies Ltd to make a soft credit inquiry via our credit recommendation provider to provide a suitable credit limit and terms.
I CONFIRM I HAVE READ THE ABOVE AND AM IN AN AUTHORISED POSITION TO REQUEST A CREDIT ACCOUNT TO BE CREATED ON BEHALF OF THE ABOVE DETAILED COMPANY, FOR THE SUPPLY OF GOODS FROM F2 MEDICAL SUPPLIES LTD:
Name|
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Title / Position|
Date|
Signature|