COMPANY ACCOUNT    APPLICATION FORM
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   [ACCOUNTS]
 [CONTACT US]		      Print out a copy of this form (2 pages) 
            Fill and return to  Mckennas 
            1, 3, +5 Market St. Listowel
 Phone 068-21044    Fax 068-21179    Email enquiries@mckennas.ie   Website www.mckennas.ie
Name:
Address Phone
Land:
Mobile:
Fax:
Email address:
Nature of business
Registered address
Registration number Date of incorporation
Person to arrange payment
Person(s) authorised to sign for goods
Order number required One invoice per despatch
                                         List of company directors
      _____________________________
      _____________________________
      _____________________________		         ___________________________
        ___________________________
        ___________________________
Bank details
Name Account number
Account address

 

Declaration
I/We understand and agree to the conditions attached to the account. I/We understand that your credit terms are that payment is due promptly within 30 days following month of invoice and that supplies  may be refused if this condition has not been fulfilled. I/We understand that credit terms may be withdrawn at any time and without any prior notice. A credit charge of 2% per month will apply to overdue accounts. Legal title and ownership of the goods shall remain with J. McKenna Ltd. until payment has been received in full respect of any nature outstanding.

Authorised signature  ______________________________       Date  __________

Credit limit   €____________________________       Deposit   €___________________

 

Declaration
I/We the Director(s) of the principal Debtor do jointly, severally, personally and irrevocably guarantee the payment to J. McKenna Ltd. of all sums due or becoming due by the principal Debtor for all goods and services supplied by J. McKenna Ltd. 

I/We further agree that this guarantee will bind irrespective of whether I/We remain directors of the principal Debtor or not, or in the event of my death shall be binding on my personal representative. I reserve the right for myself or for my personal representative by two month's notice in writing expiring on any day to revoke this guarantee in respect of all future dealings by the principal Debtor with you after the expiration of the said notice, provided however, that such notice shall not operate to release me or my personal representative from any obligation arising hereunder prior to the said date of expiration.

Signed     _____________________                        Date   __________________
                                Director

Signed     _____________________                        Date   __________________
                                Director

 

 

                                            Trade References
Name
Address

Phone		 Name
Address

Phone

 

~ For office use ~
Account number
PC:		 Type of business
SD:
Approved by
Approved by
Approved by		 Date
Date
Date
Set up by Date