Application For Business Account

Business Contact Information
Name * Date business Commenced*
Company Name * Type of Firm *
Phone * Email *
Country * State *
City * Street Number *
Street Name * State Zip Code *
Business Information
Current Turnover * Number of Employees *
Current Stock Supplier Years Trading *
Main Focus(events, retail etc) Do you require in House service
Business/Trade References
Company name * Phone
Country * State *
City * Street Number *
Street Name * ZIP code *
Email * Type of Account *
Fax * Other *
Company name * Phone
Country * State *
City * Street Number *
Street Name * ZIP code *
Email * Type of Account *
Fax * Other *
Company name Phone
Country State
City Street Number
Street Name ZIP code
Email Type of Account
Fax Other
Agreement
1. Terms 50% Deposit to commence production with balance prior to release of goods.
2. Claims arising from invoices must be made within seven working days.
3. By submitting this application, you authorize DIOZ GROUP to make inquiries into the banking and business/trade references that you have supplied.
Signatures
Signature * Signature
Title * Title
Name * Name
Date * Date
No Img