Account Application

Please complete this form to apply for a credit account. Upon receipt we will proceed with our credit checks* and facilities will be made available upon receipt of satisfactory references.

Our credit terms are strictly net 30 days from end of month. MRL Midlands Ltd reserves the right to charge interest at the judicial statutory rate on all unpaid monies where overdue against terms agreed.

Please view the Conditions of Sale here and agree that the terms set out shall apply to all your dealings with MRL Midlands Ltd.

* We will make a search with a credit reference agency; we will keep a record of that search and will share that information with other businesses. We may also make enquiries about the principal directors with a credit reference agency.

Please use the full address including postcode.
If different from Registered Address.
Only to be completed if Non-Limited company
Only to be completed if Non-Limited company
Accounts Department
Purchasing Department

We have introduced the option of e-mailing invoices and statements, please select your preferences.

We acknowledge the Conditions of Sale and agree that the terms set out shall apply to all our dealings with MRL Midlands Ltd.
Duly signed by authorised signatory and/or director
on behalf of
Please enter todays date
By selecting this option you are agreeing to the Terms & Conditions.
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