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for Adobe Acrobat .pdf format Company Name Ltd/Plc/Partnership/Sole/Proprietor Registered Address Post Code Telephone NO Operational Address and Telephone Extension No PLEASE SUPPLY BANK DETAILS AND TWO TRADE REFERENCES Bank Address Account Number Reference 1 Address Telephone Contact Fax Reference 2 Address Telephone Contact Fax TO BE SIGNED BY AUTHORISED SIGNATORY We have read and agree to be bound by QED Couriers Ltd Terms and Conditions of Trading. Name Position Signature Estimated Probable Usage FOR INTERNAL USE ONLY Date Account Opened Sales Dept Ref |