ScooterMart Mobility Scooters
Application for Credit Account
Please complete all sections, in order that your application and be approved and agreed with minimum of delay. By completing this form you are agreeing to the Terms and Conditions.

Full Name and / or Trading Style
Address Telephone No.
Business Registration Number
No. of years in Business
Name of Partners/Directors
Trade References
Name Name
Address Address
Telephone No. Telephone No.

Applicant
Applicants Name Position in Company
Nature of Business Monthly Credit Limit

Credit Account Terms & Conditions
I agree to these terms and conditions
  • All invoices are to be paid by the end of the month following purchase/service i.e 30 days.
  • Any charges incurred on the account i.e Refer Drawer cheques or the collection of debts will be charges to you.
  • We reserve the right to suspend or cancel credit facilities should the above terms not be adhered to.
  • Goods supplied remain the property of the Vendor until payment is received and the cheques cleared.
  • We also reserve the right to charge interest on overdue accounts.