Valley Chauffeur Cars 24a London Road Blackwater Camberley Surrey GU17 9A Tel:01276 31515 Fax: 01276 37717
Application To Open A Credit Account
Company Name & Address			Invoice Address
Telephone No.			Requested Credit Limit			£
Fax No.			Email Address
Trade Reference (1)	Trade Reference (2)					Trade Reference (3)
Parent Company (If Applicable)
Name Position Signed Date
FOR OFFICE USE ONLY
Date Application Applied For		Agency Rating			Credit Limit		Authorised	Date
Account Opened		Accounts Rec’d
Account No.				Credit Limit