Credit Application

Logon Credit Account Application Form

Please fill in the following form to apply for a credit account with LOGON.

Submission of a Credit Account application does not guarantee that LOGON will extend a Credit account. The information provided below will be used to assess the applicant’s suitability and LOGON reserves the right to refuse a credit account at LOGON’s own discretion.

Once a Credit Account is approved, you agree to honor LOGON’s payment terms and conditions. LOGON’s payment terms are strictly 30 days from date of invoice. An overdue interest at 2.5% per month will be charged on all overdue amounts. All so􀁊ware products shall remain the property of LOGON un􀀴l full payment is made.

Applicant's Details

Job Title: (required)

First Name: (required)

Last Name:

Email Address:(required)

Company Details

Company: (required)

Telephone:

Fax:

First Line Address: (required)

Second Line Address: (required)

Town/City: (required)

State: (required)

Country: (required)

Postcode: (required)

Company Registration No: (required) (alphanumeric 30 digit)

Date of Incorporation(DD/MM/YYYY): (required)

GST Registration No: (required) (alphanumeric 15 digit)

Does your Company comes under SEZ: (required)

SEZ certificate {File attachment} [If Comes under SEZ]:

Registered Office Address (if different from above):

Registered Office Telephone No.:

Account Department Details

Accounts Contact Name: (required)

Account's Address: (required)

Telephone No:

Mobile No:

Email: (required)

Email [for invoice and statement purposes - if different from above]: (required)

Finance Department Details

Finance Contact Name: (required)

Finance Address: (required)

Telephone No: (required)

Mobile No:

Email: (required)

Bankers Reference

Name of Bank:

Address:

IFSC Code:

Account No:

Beneficiary Name:

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Logon Credit Account Application Form

Applicant's Details

Company Details

Account Department Details

Finance Department Details

Bankers Reference

About Logon

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Logon Credit Account Application Form

Applicant's Details

Company Details

Account Department Details

Finance Department Details

Bankers Reference

About Logon

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