QUOTATION


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Company Name







Address







First Name







Last Name







Title







e-mail address







Telephone Number
(include Int code if outside UK)







Fax Number
(include Int code if outside UK)







Industry







Selling To
(if applicable)







Turnover UK
(if applicable)







Turnover Export
(if applicable)







Do you currently have credit insurance?



If Yes, Insurance Company



If Yes, Renewal Date








Major Clients (by value of outstanding credit)












Bad Debt Losses (past 3 years)









This year (please enter total value, number and largest)










Last year (please enter total value, number and largest)










Previous year (please enter total value, number and largest)








Export Markets





(approx. turnover per market)










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