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Credit Account Applicaion

IF YOU WOULD LIKE TO APPLY FOR A CREDIT ACCOUNT:

1) You can click the icon below to download a PDF form, fill it in and return it to us.

(Click Icon Above)

 

OR

2) Fill in the form below. We recomend reeading throught the form first to make sure you have the necessary details and proof of identity.

* PLEASE NOTE: Invoices / Statements will be sent via email unless instructed otherwise

Please Supply two proofs of identity for person signing this form: (i.e.) Scan of Drivers Licence, a recent Utility Bill or Passport

Type of business
Date Company/Partnership Formed
Day
Month
Year

PAYMENT METHOD

Payment Method (Please tick box)
BACS
Cheque
Cash
Debit Card
Credit Card**

NAMES & ADDRESSES OF DIRECTORS / PARTNERS

Have any of the principals been involved in Liquidation / Bankruptcy / Receivership?
Yes
No

Director or Business Partner 1

Date of Birth
Day
Month
Year

Director or Business Partner 2

Date of Birth
Day
Month
Year

Director or Business Partner 3

Date of Birth
Day
Month
Year

BANK DETAILS

PERSONAL CREDIT GUARANTEE

This form must be completed by an Owner, Director, or Company Secretary of the company applying for credit.


In consideration of ODJA Holdings Limited trading as BLM Building Supplies agreeing to supply goods and/or services to the applicant company on credit, I/we, the undersigned, in my/our personal capacity, hereby irrevocably, unconditionally, and jointly and severally guarantee to ODJA Holdings Limited trading as BLM Building Supplies, its subsidiaries and successors, the full and punctual payment and discharge of all present and future monies, liabilities, and obligations of the applicant company, whether actual or contingent, now or arising at any time in the future.


This personal guarantee shall apply without limitation to all sums due, including (but not limited to) principal, interest, charges, costs, and legal expenses, and includes any financial obligations arising from any increase, extension, renewal, or variation of the credit limit or credit terms, whether or not notice of such change is given to me/us.

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