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Credit Application Form
Insight offers open account net day terms to qualifying organisations. If this account type is required, please complete all sections of this form to prevent any delays in processing.
ACCOUNT DETAILS (if you have an existing Insight account)
Account Number
Name of Insight Account Executive
BUSINESS DETAILS
Company Name
Business Type
*
Ltd Company
PLC
Partnership
Sole Trader
Charity
Other
Company Registered Number
VAT Registration Number
Registered Office Address
Office Address Line 2
Office Address City
Office Address Post Code
Registered Office Country
*
UK
Not UK
Telephone Number
(landline)
Website Address
Delivery Address
Line of Business
Parent Company
(if applicable)
Parent Company Registration Number
Number of Employees
Number of PCs
Annual UK Turnover
Annual IT Spend
Estimated Annual Spend with Insight
Bank Name
Sort Code
Account Number
INVOICING DETAILS
Invoice Contact Name
Invoice Address
Invoice Address Line 2
Invoice Address City
Invoice Post Code
Invoice Country
*
UK
Not UK
Accounts Payable Contact Name
Accounts Payable Contact Telephone Number
Accounts Payable Fax Number
Accounts Payable Email Address
CONFIRMATION
Contract Agreement
In submitting this application for credit, the customer hereby agrees that any contract made with Insight Direct (UK) Limited is subject to the conditions of sale of Insight Direct (UK) Limited to the exclusion of all others. Unless expressly agreed in writing and signed by an authorised representative of each of the parties, no printed standard terms which may appear on any purchase order, order confirmation or other communication relating to the Goods and/or Services shall be of any effect.
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