Application For Credit Account

Please fill in all fields marked with an asterisk (*)
Company Contact Information

Company Details

Banking Details

Trade References

Credit Limit

All first orders are dealt with on a pro-forma basis.
Subject to a satisfactory credit check, credit terms are strictly 30 days from date of invoice.

By submitting this form, the person named beneath states that all the above information is true and agrees to abide by LSi's terms & conditions.

View our terms & conditions (opens in a new tab)