Credit Application

Credit Account Application

* Indicates required field

Name of Applicant *

First

Last

Job Designation *

Name of Business or Orgnisation *

Email *

Please answer the questions below:

Has your firm traded with VT Solutions before? *

Yes No

If you selected Yes above, when did you first trade with VT Solutions? *

Do you currently have a Cash or Credit Account with VT Solutions? *

Cash Credit None

How much do you intend to spend monthly with VT Solutions? *

What monthly credit limit do you want set on your account? *

If you chose $10,001 or more above, please indicate the value (up to the maxium monthly spend you intend to make): *

Please provide details of your business or organisation:

Registered Name of Business *

Type of Business *

Business Registration No *

Date of Incorporation *

Business Tax ID No *

Business Website *

Business Phone No *

Email to send business correspondences to *

Email to send invoices to *

Business Physical Address *

Line 1

Line 2

City

State

Zip Code

Country

Is your business postal address the same as its physical address? *

Yes No

Postal Address (if different from Physical Address) *

Please provide details of the directors or owner(s) of your business who will act as guarator(s) for your credit:

Name of Director 1 & Guarantor 1 *

Designation of Director 1 *

Email of Director 1 *

Name of Director 2 & Guarantor 2 *

Designation of Director 2 *

Email of Director 2 *

Please provide below details of 3 other businesses that can provide references of your trading history with them:

Name of Business 1 *

Name of Contact in Business 1 *

Name of Business 2 *

Name of Contact in Business 2 *

Name of Business 3 *

Name of Contact in Business 3 *

Terms of Payment:

Select your preferred Term of Payment: *

7 days 14 days 21 days 30 days

Please read our Terms of Trade before you submit this:

I have read VT Solutions' Terms of Trade and hereby declare *

I understand and agree to the Terms of Trade with VT Solutions I understand and have further queries on the Terms of Trade with VT Solutions I understand and do not accept the Terms of Trade with VT Solutions

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