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Option		Price	Availability

Credit Application Form

Insight offers open account net day terms to qualifying organisations. If this account type is required, please complete all sections of this form to prevent any delays in processing.

ACCOUNT DETAILS (if you have an existing Insight account)

Account Number

Name of Insight Account Executive

BUSINESS DETAILS

Company Name

Business Type*

Ltd Company

PLC

Partnership

Sole Trader

Charity

Other

Company Registered Number

VAT Registration Number

Registered Office Address

Office Address Line 2

Office Address City

Office Address Post Code

Registered Office Country*

UK

Not UK

Telephone Number

(landline)

Website Address

Delivery Address

Line of Business

Parent Company

(if applicable)

Parent Company Registration Number

Number of Employees

Number of PCs

Annual UK Turnover

Annual IT Spend

Estimated Annual Spend with Insight

Bank Name

Sort Code

Account Number

INVOICING DETAILS

Invoice Contact Name

Invoice Address

Invoice Address Line 2

Invoice Address City

Invoice Post Code

Invoice Country*

UK

Not UK

Accounts Payable Contact Name

Accounts Payable Contact Telephone Number

Accounts Payable Fax Number

Accounts Payable Email Address

CONFIRMATION

Contract Agreement

In submitting this application for credit, the customer hereby agrees that any contract made with Insight Direct (UK) Limited is subject to the conditions of sale of Insight Direct (UK) Limited to the exclusion of all others. Unless expressly agreed in writing and signed by an authorised representative of each of the parties, no printed standard terms which may appear on any purchase order, order confirmation or other communication relating to the Goods and/or Services shall be of any effect.

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