National Hardware Ltd.

, Colorcrete, Decopav, Alproguy

CREDIT APPLICATION
Customer Information
Company/Individuals Name: ______________________________________________
Contact: ________________________________________________________________
Billing Address: __________________________________________________________
Phone No.: ____________________ National ID No.: ___________________________
Business Registration No.: _______________________ TIN: ______________________
Will Purchase Order be provided [

] Y/N (Provide Sample)

Names of authorized Signatures: _______________________ _______________________

Sample Signatures: ___________________________
Method of Statement Delivery: Email [

Fax [

____________________________
]

Post [

] Hand [

Email address: ____________________________________ Fax No.: __________________

Signature of Customer: ________________________________
____________________________________________________________________________________________________

Official Use
Amount of Credit approved: __________________
Credit Terms: _________________________
Sales Manager appointed: ____________________________
Directors Signature: ________________________________
Note: Photocopy of ID Cards must be kept for any person collecting goods on behalf of the customer