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Main Email

Your Name

Requested Credit

Please only choose as much credit as you need. Higher values may take longer to be approved.

Requested Amount

Details of Organisation Applying for Credit

Organisation Name

What kind of organisation is this?

Is it part of a trust?

Trust Name

Is it a limited company?

Company Registration No.

VAT Number (if applicable)

Organisation Address

Address line 1

Address line 2

City

Postcode

Telephone

Use the above details as the Accounts Contact?

Accounts Contact Details (if different to above)

Accounts Contact

Accounts Email

Accounts Address

Address line 1

Address line 2

City

Postcode

Accounts Tel No

Agreement

I agree to abide by the Terms and Conditions as set out by Victor Stationery (UK) and that a Purchase Order reference must be provided with every order placed.

Signature for Agreement

Signature Name

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