Open a bredent account bredent UK > Terms and conditions > Open a bredent account By completing a credit application form, we'll create you your own bredent account. Credit application form Registered company name*Company registration number*Company registered address*Delivery address, if different from aboveContact name*Telephone*Email* Fax*Business incorporation date*To whose attention should invoices be sent?*Form of business*CorporationLLCPartnershipSole proprietorIs a purchase order required?*YesNo Bank referencesDo not list credit cardsBank name*Bank address* Trade ReferencesI/We authorise you to take up references at any time from the under mentioned bank and trade sources.Name of first trade reference*Address of first trade reference*Phone number*Email* FaxAccount number*Name of second trade reference*Address*FaxPhone number*Email* Account number* Payment termsOur terms are end of month plus 30 days. Accounts not paid in this time frame may be charged 2.5% interest rate per month and future orders will be on a cash on delivery basis until the account is current. Should collection or legal action be required to collect past dues, fees for such action will be added to your account. Your name*Your title*Date*Keeping in touchWe send relevant information and offers to customers who have purchased from us - our customers can opt out at any point. If you would like to ensure you are opted in, please tick your preferences.Please tick what you would like to receive from bredent... Updates on technical products and offers Updates on medical products and offers Monthly customer update Information about courses and training opportunities Information about events Email for updates to be sent to GDPR* I consent to bredent UK storing my details in order to respond to my request We store details in order to respond to requests. Your details will not be passed on to any third parties. NameThis field is for validation purposes and should be left unchanged.