Credit Account Application Registered Company Name *Company Registration Number *Registered Address *VAT Registration Number *Year Established *Number Of Employees *ZIP / Postal Code *Nature Of Business *Credit Required (Per Contract/Month) *GBPAccounting address (from which payment will be made) *Accounts Contact Name *Postcode *Email *Invoicing Email Address *Telephone *Stay in the loop!We’d love to send you occasional updates about our products, services, promotions, and news by email.Marketing Contact NameMarketing Email AddressPurchasing Contact NamePurchasing Email AddressOpt OutNo, I would not like to receive marketing emails. CJS Safety Systems Limited only carries out work with a valid Purchase Order reference. The company applying MUST have a purchase order system in place. As a person authorised to enter into a contract on the company’s behalf, I hereby permit Safegate to obtain a reference from our bank and/or credit reference agency where applicable, in relation to this application for credit facilities. I also confirm that I agree the account will be paid in accordance with the normal terms agreed with CJS Safety Systems Ltd and agree that all orders given to CJS Safety Systems Ltd will be subject to the general conditions of hire. Name *Position *Signed *Date * PLEASE NOTE - CJS Safety Systems Limited are CIS exempt and so the customer must be in a position to pay the VAT directly to CJS Safety Systems Limited. The information provided above will be used to annually review the credit provided to you and having a credit agreement in place does not guarantee an ongoing agreement. You may be asked to complete a form more than once.Where credit cannot be provided by CJS Safety Systems Limited, you may be asked to resubmit a form with the details of a parent company. If this is not possible, a proforma invoice can be provided but will have to be paid in advance of any works being carried outTerms and conditions and our privacy policy can be found in full here Submit