Please give Name, address, and telephone/fax numbers of three suppliers with whom you have a credit account

I being an authorised Officer of this business agree to your terms and conditions and that payment of all accounts will be received by you (our supplier) within your stated credit terms. I confirm that I am a Director/Proprietor of the above company/business and that in consideration of your continuing to supply them, I hereby guarantee all liabilities of the above company/business to yourselves howsoever arising, and I undertake to indemnify you immediately on first demand, without set-off or deduction in respect of all losses, claims, damages, costs and any other indebtedness which may arise. This guarantee is a continuing security and primary obligation which shall not be affected by any waiver, release or indulgence allowed to the above company. I give permission for you to undertake a credit reference agency search.

Please submit your application only if you have
read and understood the above declaration.

We understand and will exercise our statutory right to claim interest and compensation for debt recovery costs under the late payment legislation if we are not paid according to agreed credit terms