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Apply for a Trade Account (Central Billing)

This form is for Central Billing customers only. Please only fill out this form if you are a Central Billing Customer

Trading Name
Central Billing Number
Customer Group *
Address 1
Address 2
County
Post Code/Eircode *
Telephone
Email *
Payment Type *
I have received a copy of (Solv-x Products LTD) Terms & Conditions which include a retention of title clause and agree to adhere to the same*
I confirm the details given above are correct *
I will pay all amounts due on the day as per our agreement *
I/We agree that this information may be used to support a request for credit facilities with you and your associated companies in accordance with their credit vetting facilities *

Privacy Agreement

By submitting this form, you are giving us permission to use the information provided to respond to your enquiry. This information will only be used to fulfil the enquiry and will not be stored. We’ll handle your information in line with our Privacy Policy.
i
By submitting this form, you are giving us permission to use the information provided to respond to your enquiry. This information will only be used to fulfil the enquiry and will not be stored. We’ll handle your information in line with our Privacy Policy.