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. An overdue interest at 2.5% per month will be charged on all overdue amounts. All software products shall remain the property of LOGON until full payment is made.

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Applicant's Details
Customer Name * Required
Register Office Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number * Required
Fax Number * Required
Email Address * Required
GST Registration No * Required
**Alphanumeric 15 digits
PAN No. * Required

IT Procurement:
Contact Person Name * Required
Email Address * Required
Mobile Phone * Required

Accounts/ Finance:
Contact Person Name * Required
Email Address * Required
Mobile Phone * Required