Jacarem - Specialist Distributors of Connector and Cable Technology


Trade Account Application The following details are required to set up account facilities for your company. Non Limited Companies please note the information we require at the bottom of this form. An approximate period of 1 week is normally required to complete the application. Payment Terms are 30 days - We accept Payment by BACS * = required fields

* Company name:
* Tel No.
* Address:
e-mail:
* Company Registration No.

Bank Name:
Bank Sort Code:
Bank Account No.

* Required Monthly Credit Amount:

* Your Name:
* Position in Company:

For non limited companies - please supply name & address of at least 2 of the company partners.
* Name:
* Address:
* Name:
* Address:

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Jacarem Ltd. 78 Asheridge Road, Chesham, Bucks. HP5 2PY
Telephone: +44 (0) 1494 791336    Fax: +44 (0) 1494 792336
Jacarem © Copyright 2007
sales@jacarem.com