CREDIT INFORMATION

Your Company Name: _____________________________

Trade References (Your Major Suppliers)

1)	Name: _____________________________ Tel: ____________

	Address: __________________________ Fax: ____________

        _______________________________ Contact: ____________

2)	Name: _____________________________ Tel: ____________

	Address: __________________________ Fax: ____________

        _______________________________ Contact: ____________

3)	Name: _____________________________ Tel: ____________

	Address: __________________________ Fax: ____________

        _______________________________ Contact: ____________





Monthly credit requested: ___________________________________


Name (please print) _______________________ Position ________


	Signature: __________________________________

	Date: _______________________________________

Please return with your letterhead to:
Avcom Systems Ltd, Stanlake Mews, LONDON W12 7HS
or Fax to: 020 8735 3419	or email to: accounts@avcom.co.uk