 |
Energy
Controls and Spares Ltd
Distributors of H.V.A.C. Controls, Process Controls and Boiler/Burner Spare Parts. |
|
49 Gazelle Road, Weston Industrial
Estate, Weston-super-Mare, Somerset, BS24 9ES
Tel: (01934) 642277 Fax: (01934) 642288 (Online Application Form) |
Company Name : _______________________________________________________________________
Address : ______________________________________________________________________________
______________________________________________________________________________
____________________________________Postcode :__________________________________
Tel No : ________________ Fax No :______________
Limited Company Directors Names: ________________________________________________________
Company Reg No: __________________________ Date of Registration : __________________________
If Partnership Please Supply Name and Address of all Partners: ___________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Bank Details:___________________________________________________________________________
Address : ___________________________________________________________________________
Sort Code : ______________________________ Account No:___________________________________
Trade Reference 1: ______________________________________________________________________
______________________________________________________________________________________
Trade Reference 2:_______________________________________________________________________
______________________________________________________________________________________
Monthly credit Required : £__________________________
Signed ;___________________ Print Name:
Position : _______________Date:
PLEASE SUPPLY SAMPLE OF ONE OF THE FOLLOWING:
LETTERHEAD/ORDER OR BUSINESS CARD