Annisacars - Safe and Reliable Transport Solutions For Women & Children

Finance Details

Account Name*

Registered Company Address*

Company Registration No.*

Nature of Business*

No of Staff*

Years Trading

Main Contact Details

Full Name*

Telephone No.*

Fax No.

Email*

Account Department Contact Details

Full Name

Telephone No.

Fax No.

Company Bank Account Details

Bank Name*

Branch Address*

Account Number*

Sort Code*

Billing Requirements*

Methods of Payment*

Have you previously had an account with us? Yes No

Do you have any other accounts with Annisa Cars? Yes No

If YES, what is your account number?

Name*

Position*

Terms and Conditions

I accept that your terms are 30 days net and hereby apply for a credit account. I accept your terms and conditions of trading are as published by the RHA (Road Haulage Association) and that the tariffs supplied to me have been calculated by the Annisa Cars computer grid and are zoned. The mileages between these zones may at times differ from those published by some Automobile organizations. I agree to abide by them in full. I confirm that I am authorized to make this application.