Credit Account Application

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Your Company Details

Your Name *
Position/Job Title

Company Name *
Company Address Line 1 *
Company Address Line 2
Company Address Line 3
Town/City *
County *
Post Code *
Country *
Website URL

Accounts Contact *
Contact's Position *
Accounts Tel *
Accounts Fax
Accounts Email

Company Registration Number
Company Start Date *
Credit Limit Required

Bank Name *
Bank Address


Credit Reference 1

Credit Reference 1 Contact Name *
Credit Reference 1 Company *
Credit Reference 1 Address *
Credit Reference 1 Telephone *
Credit Reference 1 Email


Credit Reference 2

Credit Reference 2 Contact Name *
Credit Reference 2 Company *
Credit Reference 2 Address *
Credit Reference 2 Telephone *
Credit Reference 2 Email


Terms of Sale

  1. Standard terms are 30 days end of month. Payment due by last day of the month following the one in which the invoice is dated. Failure to adhere to our terms may result in a shipping hold on future orders. Standard delivery terms are Ex-Works, unless otherwise agreed.
  2. Customer acknowledges that all sales are subject to all Terms and Conditions on Charcroft Electronics website
  3. Customer acknowledges that all information collected from or provided by customer may be used in accordance with Charcroft’s Privacy Policy.
  4. The undersigned customer is responsible for all fees when wiring funds to Charcroft.
  5. The undersigned customer hereby certifies that the information here, together with all other information submitted in connection with this application is true and correct. I understand that Charcroft will rely on this information in establishing an account for my company and I authorize Charcroft to contact and obtain information from the references provided. I have read and understand the Terms of Sale and agree that such terms apply to all transactions with Charcroft.

Please tick the box below to confirm you have read and agree to our Terms of Sale above: