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M2M Limited
Hanover Place, 8 Ravensbourne Road,
Bromley, Kent BR1 1HP

Customer Application Form
Private and Confidential

Type of Account Required:
Credit          Cash  
t: +44 (0)208 676 6067   f: +44 (0)208 676 8111   e: sales@m2m-direct.co.uk

Name/Address

Company Name:
Address:
Country: Post Code:
Telephone No: Fax:
Company Website:
Sales Contact: Email:
Purchase Contact: Email:
How did you hear about M2M? (tick as appropriate)
Trade Show: Website: Manufacturer Referral: Other:

Company Information

Date of First Trading:
Nature of Business (tick as appropriate):
OEM: VAR: Distributor: Reseller: Retailer: Other:
What type of business are you? (tick as appropriate):
Private: Limited: PLC:
Name of Directors/Partners:
Accounts Contact: Email:
Required Credit Limit: Issued Capital:
Date of Last Filed Accounts: Last Year's Turnover:
Company Reg. Address: Company Reg. No:
VAT Number: No. of Staff:

Bank Reference

Name of Bank:
Address:
Country: Post Code:
Account Number: Sort Code:

Trade References

Company Name: Company Name:
Contact Name: Contact Name:
Address: Address:
Country: Post Code: Country: Post Code:
Telephone No: Telephone No:
Email: Email:

Do you use an invoice discounting or factoring company? If yes, please enclose full details. You must inform your factoring or invoice discounting company that we hold the retention title over all goods supplied and any monies received for their purported resale.

Please print your name below. This will act as confirmation that you are deemed to have read and agreed to all of M2M's Terms and Conditions.
Print Name: Position:
Date:

Please remember to send a Letter of Introduction, VAT Certificate and Certificate of Incorporation by fax on 0208 676 8111 or email: sales@m2m-direct.co.uk to enable us to process your application.


Registered Office: 15-19 Cavendish Place, London W1M 0DD
M2M Direct is a trading name of M2M Limited Registered in England & Wales No. 3431339 VAT No: GB 710 8456 48