This form must be completed in full by a Director, Partner or Sole Proprietor

This form must be completed in full by a Director, Partner, Sole Proprietor or an Authorised person.


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I / WE CERTIFY THAT IF CREDIT FACILITIES ARE GRANTED I / WE ACCEPT FULL RESPONSIBILITY FOR ALL PURCHASES FROM ADSHEAD RATCLIFFE & CO. LTD AND THAT THE ACCOUNT WILL BE CONDUCTED IN ACCORDANCE WITH OUR TERMS AND CONDITIONS WHICH ARE STRICTLY 30 DAYS FROM THE END OF MONTH.