Credit Account Application Form

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Company Details

Company Trading Name

Registered Name


Company Trading Address

Postcode

Telephone Number

Registered Office Address

Postcode

Telephone Number

Company Registration Number

Company VAT Number


Contact Details

Account's Contact

Buyer's Contact

Account's Telephone Number

Buyer's Telephone Number

Financial Controller's Contact

Financial Controller's Number


Email Address for Order Acknowledgements

Email Address for Invoices

Email Address for Statements

Email Address for Dispatch Notifications


Form Completed by

Job Title

Telephone Number

Email address

DSL Sales Contact


Please confirm your acceptance of DSL’s 30 days NET (from date of invoice) payment terms, conditions of sale and of prompt payment as per agreed terms

If you desire alternative credit terms, you must specify your request below or your account will be set up with 30 days NET terms and your submission taken as acceptance of those terms

Please note, DSL accept payment by BACs or Credit Card, payment by cheque is no longer permitted due to processing times delaying shipments and received payments.