Credit App Form

Credit Limit Application - K & N FREIGHTLINES

Case Sensitive: Please ensure the Account no is exactly the same as you have opened in Brilliant eg/. CAPITALS or small caps.

Sole Proprietorship - Legal Entity must be captured as follows: Surname and Initials (Smith P)

Partnership - Legal Entity must be captured as follows: Surnames and Initials (Smith P and Wood J)

Buyer Name

Buyer Trader Name

Business Type

Registration / ID No.

Trust No.

VAT. Reg. No.

Buyer Account No.

Country

Physical Address

Postal Address

Code

Dialling Code

Phone Number

Fax Number

Cell Number

Email

Exisiting Limit Details ________________________________________________________

Policy Number

Annexure Number

Exisiting Limit

Existing Terms

Details of Limit Sought _______________________________________________________

Limit Requested

Terms

Banking Details _____________________________________________________________

Bank Name

Bank Account Holder

Bank Branch Name

Bank Account Name

Trade Reference Details ______________________________________________________

*Please note: Omitting trade references may affect the underwiritng decision.

Policy Holder Trade Reference Details __________________________________________

Monthly Purchases from...

...to

Payment Experience

Exisitng Credit Limit

Contact Name

Experience

Please confirm the colour of this text (anti-spam)

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