Trade Account - Mastercharge

Company Name

Contact Name

First

Last

Phone

Registered Trading Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Time In Business

Type Of Business

Bank Name

Bank Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Can you supply a business trade reference?

Business Reference Details

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Agreement

I agree to the below terms set out by Mastercharge.

All invoices are to be paid on the 20th of the month following the date of the invoice. Any claims arising from invoices must be made within seven working days of receipt of invoice. By submitting this application, you authorise Mastercharge LTD to make inquiries into the banking and business/trade references that you have supplied.

Date / Time

Date

Time

Job Tittle

Name

First

Last

Signature

Clear Signature

Phone