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Application Form

Application to open a credit account

* required fields

Details

Please tick one box which best describes your business:

Names of all directors or partners (Addresses must be included):

Two trade references to the value of credit required:

I hereby authorise LIV Supplies Limited to undertake all enquiries necessary to validate this Credit Request.
On my acceptance of an account facility, I agree to be bound by the Company’s Standard Terms and Conditions, as provided overleaf, which I have read and understood.


Company Registration No: 6242113