Account Application

Simply fill in the form below to apply for a Premier Carriers Credit Account:

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Fields marked with an asterisk (*) are required/mandatory.

Date
Company *
Address *	Telephone * Fax Number Emergency Number * Web Address
Postcode *	Type of Business
Number of Staff	Credit Limit Required £ *
Booking Options * Telephone Online	Booking References * Yes No
Main Contact *	Phone/Mobile * Email for PODS
Opening Hours * MON TUES WEDS THURS FRI SAT SUN Out of Hours Yes No
Booking Contact (1) *	Phone/Mobile * Email *
Booking Contact (2)	Phone/Mobile Email
Booking Contact (3)	Phone/Mobile Email
Director/Owner *	Phone/Mobile Email
Accounts Billing Address * Copy Address	Company Registration No * Accounts Contact * Accounts Phone Number * Accounts Fax Number
Postcode *	Accounts Email *
Invoice Options * Email Post	Purchase Order No Req * Yes No
Payment Options * BACS Cheque	Terms & Conditions Accept
Print Name *	Authorised Signature
If you want to submit this form, do not enter anything in this field
PLEASE NOTE: IT IS A CONDITION OF CONTRACT THAT ACCOUNTS ARE PAID WITHIN 30 DAYS FROM DATE OF INVOICE TERMS & CONDITIONS OF BUSINESS FOR PREMIER CARRIERS LTD AVAILABLE ON REQUEST STANDARD VAT RATE AT 20% AND 3% FUEL SURCHARGE APPLIED TO ALL INVOICES

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