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To register for a Trade Account with Protech Supplies Ltd please complete the form below. All mandatory fields are marked with an asterisk (*)

Date *

Company Details

Registered Name *

Address *

Telephone Number *

Fax Number

Email Address *

VAT Reg Number

Company Registration Number *

Bank Details

Bank Name 8

Bank Address *

Sort Code *

Account Number *

Other Details

Credit Limit Required

Accounts Contact Name *

Accounts Telephone Number *

Accounts Fax Number

Trade References

Trade Reference Name *

Trade Reference Address *

Trade Reference Telephone Number *

Trade Reference Fax Number

Acceptance

Your Name *

Your Position

By Ticking Accept you are agreeing to request a monthly credit account with Protech Supplies Limited and agree to pay strictly nett monthly. In addition you agree to abide by the payment terms which are as follows: Our Terms are strictly 30 days end of month invoice"