Account application - W.R. Kennedy & Co

Authorised nationwide distributors for Texaco Lubricants in Northern Ireland

T: 028 2565 6616 | E: info@wrkennedy.co.uk

W.R. Kennedy & Co

WR Kennedy & Company account application

Name of company applying for account(Required)

Address(Required)

Street Address Address Line 2 Town/City County Postcode

Telephone number(Required)

Accounts Email address(Required)

Sales email address (if applicable)

Company status(Required)

Company registration number(Required)

VAT Registered?(Required)

VAT Registration number (eg 123456789)(Required)

Account type(Required)

RDCO Number(Required)

Credit limit requested (£)(Required)

References

Reference 1(Required)

Reference 1 contact name(Required)

First Last

Reference 1 telephone number(Required)

Reference 1 email address(Required)

Reference 2(Required)

Reference 2 contact name(Required)

First Last

Reference 2 telephone number(Required)

Reference 2 email address(Required)

Approval

Name of person completing application(Required)

First Last

Get in Touch

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Ballymena

028 2565 6616

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Larne, Carrick and Ballyclare

028 9334 4700

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Ballymoney

028 7032 6080