Rolec Account Application Form

How to set up a 30 day credit account

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CONTACT DETAILS
Mr/Mrs/Ms
First Name
Surname
Job Title
E-mail
COMPANY ADDRESS DETAILS
Company
Address1
Address2
Town/City
County
Post Code
Telephone
Fax

We use Dun & Bradstreet to check credit ratings, and we will usually confirm your application within 24 hours.

NON-ACCOUNT ORDERS
We also accept credit cards (VISA or MASTERCARD), or can issue pro-forma invoices.

Data Protection Statement

REGISTERED OFFICE (If different)

Company

Address1

Address2

Town/City

County

Post Code

COMPANY REGISTRATION No.

COMPANY VAT No.

BANK DETAILS

Bank

Account No.

Sort Code

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