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Commercial Credit Application Form
 
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Brobot Petroleum Ltd.
Thorpe Road
Melton Mowbray
Leicestershire
LE13 1SH
Tel. 01664 480000
 
 
I/ we would like to apply for a credit account with Brobot Petroleum Limited for the following products:
Bulk fuel Diesel Cards Lubricants
 
I agree to the Terms and Conditions of this application
 
Please complete Part A for a Limited company and Part B for any other
 
PART A
Company Reg. No.
VAT Reg. No.
Trading name
Registered office address or invoice address
Postcode
Type of business
Contact name
Telephone
Email
Fax
Mobile
Year established
Fuel to be used for
Estimated credit required per month
 
PART B
Select business type
VAT Reg. No.
Trading name
Full name/s of sole trader or partners
Address
Postcode
Nature of business
Contact name
Telephone
Email
Fax
Mobile
Year established
Fuel to be used for
Estimated credit required   per month