Zenith Media Credit Application Form

PLEASE MARK AS APPROPRIATE:

PRIVATE LIMITED COMPANYPLCPARTNERSHIPSOLE TRADEROTHER

TRADE REFERENCE 1

TRADE REFERENCE 2

DO YOU OPERATE A PURCHASE ORDER SYSTEM

YESNO

I/WE CONFIRM THAT THE ABOVE INFORMATION IS CORRECT AND REQUEST A TRADE ACCOUNT TO BE OPENED WITH ZENITH MEDIA.

I/WE CONFIRM THAT ALL GOODS/SERVICES RECEIVED WILL BE PAID FOR WITHIN 30 DAYS OF THE END OF THE MONTH IN WHICH THE INVOICE IS DATED. (UNLESS OTHERWISE AGREED IN WRITING).

I/WE CONFIRM THAT WE HAVE RECEIVED AND READ THROUGH THE TERMS AND CONDITIONS OF ZENITH MEDIA AND AGREE TO TRADE ON THESE TERMS