Note: We will make a search with a credit reference agency, which will keep a record of that search and will share that information with other businesses. We may also make enquiries about the principal directions with a credit reference agency.

    Customer Details as they will appear on the invoice

    N.B. PO Box numbers and mobile numbers are not acceptable

    What type of Company is it?

    Limited CompanyNon-Limited Company

    Registered Office
    Please supply names and registered addresses of Directors.
    Please supply names and home addresses of Proprietors/Partners.

    Trade References

    2 references are required preferably with a similar trading level to that requested
    (must not be an associated company)


    Please note: the credit limit/terms requested may not necessarily be granted

    Customer's Declaration (to be signed by authorised signatory)

    We hereby request a credit account with Callimedia Limited and authorise them to contact the above mentioned suppliers for the purpose of obtaining a reference. We also agreed to Callimedia Ltd Terms & Conditions as supplied
    Confirmation of credit terms and credit limit will be made in writing once application has been completed. You will be required to confirm acceptance of terms and limit by return of confirmation letter.