Account Application Form

Welcome to our Online e-Signature Account Application form page.

Simply fill out the application form below, once you have completed it, please submit and you will be redirected to an e-Signature page for you to sign the document which will allow us to process the application form.

Book An Appointment | Arrange A Quotation | Call 033 3939 0022

Working Hours – Monday – Friday: 09:00 – 17:30

Please Note: If your company has an email firewall policy in place, you may need to whitelist our email, websales@radiocoms.co.uk to ensure receipt of emails after completing this form.

Full Trading Name & Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is Your Company Name & Address the same as the Full Trading Name and Address *

Company Name & Address: (Complete if different from Full Trading Name and Address)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is Your Preferred Invoice Name & Address the same as the Full Trading Name and Address *

Preferred Invoice Name & Address: (Complete if different from Full Trading Name and Address) *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Company or Charity Reg No. *

VAT Number

Number of Years Trading *

Website / URL *

Finance Department Contact *

First

Last

Company Name *

Telephone *

Monthly Credit Limit Required *

Email *

Confirm Email

Contract Credit Limit Required *

Sales Contact *

First

Last

Secondary Sales Contact (if applicable)

First

Last

Position Held in Company *

Position Held in Company

Telephone *

Telephone

Mobile *

Mobile

Email *

Confirm Email

Terms and Conditions

I agree that i am authorised to act on behalf of the company detailed within this application form. By signing this declaration I confirm that I have read and understood Radiocoms Systems Ltd ("Radiocoms") standard terms located on its website (www.radiocoms.co.uk).

I also note the following:

Radiocoms will carry out a credit check as part of their new account opening process.
Radiocoms will confirm any approved credit limit in writing (email). I understand any credit limit approved is at the discretion of Radiocoms; and any approved limits can be amended and/or withdrawn without prior notice.
If credit is approved, payment shall be made THIRTY DAYS FROM DATE OF INVOICE.
Radiocoms reserves the right to withhold goods and/or services should I/we exceed the agreed credit limit, until such time as the sum outstanding over and above the credit limit is cleared.
This account will remain open for a period of ONE YEAR from the last recorded transaction.

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If you would like further information, or to discuss your requirements onsite:
Book An Appointment | Arrange A Quotation | Call 033 3939 0022

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