Account Form - Approval Form

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UNIT 13, TARSMILL COURT

ROTHERWAS INDUSTRIAL ESTATE


HEREFORD ~ HR2 6JZ ~ UK
PHONE 0044(0)1432 358433 ~ FAX 0044(0)1432351150
Email: accounts@speednetuk.com
Web: www.speednetuk.com
COMPANY NO: 4301555 ~ VAT NO: 783 6319 01

Account Application Form


BUSINESS CONTACT INFORMATION
Company name PRISCOM DEZMEMBRARI AUTO SRL Date business commenced

Registered company address STR.TUDOR VLADIMIRESCU NR 39,  Sole proprietorship


BARLAD, VASLUI, ROMANIA

Phone | Fax 0732144200  Partnership

E-mail CONTACT@DEZMEMBRARU.RO  Corporation

Company Registration number and 42560399  OTHER – PRIVATE INDIVIDUAL


VAT number

Credit amount required Credit amount approved N/A This will be confirmed by us once
If applicable (not applicable for credit check is performed
custom procedures)
BUSINESS AND CREDIT INFORMATION
Business accounts /invoicing Bank name: N/A

Person responsible for payments Business trading address

Phone 0732144200 Phone 0732144200

Fax Account number

E-mail CONTACT@DEZMEMBRARU.RO Account Name


BUSINESS/TRADE REFERENCES
Company name RIGHT AUTO PARTS LTD Phone +44 7984 316064

Address 53 Briton Street, Thurnscoe, Fax


Rotherham, South Yorkshire, England,
S63 0HH

E-mail rightautopartsuk@gmail.com

Type of account Business partner Other

Company name Priscom SRL Phone 0732144202

Address Simila, Str.Principala, Vaslui, Romania E-mail priscomrecicleaza@gmail.com

Type of account Business Partner Other

Company name Phone

Address Fax

City, State Post Code E-mail

Type of account Other

AGREEMENT
1. All invoices are to be paid immediate after receipt of invoice.
2. Claims arising from invoices must be made within seven working days.
3. By submitting this application, you authorize SPEEDNET INTERNATIONAL LTD to make inquiries into the banking and business/trade references that you
have supplied.
PLEASE CHOOSE THE CURRENCY FOR YOUR ACCOUNT WITH US

EURO GBP

SIGNATURES

Signature Signature

Name and Title DRAGOS ANDREI Name and Title

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UNIT 13, TARSMILL COURT
ROTHERWAS INDUSTRIAL ESTATE
HEREFORD ~ HR2 6JZ ~ UK
PHONE 0044(0)1432 358433 ~ FAX 0044(0)1432351150
Email: accounts@speednetuk.com
Web: www.speednetuk.com
COMPANY NO: 4301555 ~ VAT NO: 783 6319 01

Date 07.08.2023 Date

Page 2 of 2

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