7/22, Ansari Road, Daryaganj, New Delhi - 110 002

Email Alerts / Credit Account Opening Form

Firm Name : M/s
Address
City State Pin Code 
Phone Fax
Phone Email
                                        Proprietorship  Partnership Company    Year of Estd.

Names of Principal Officer / Partner / Owners :
Name Designation Email
Name Designation Email
Financial Contact Name Designation Email

Please list any related companies in which the principals have an interest.
Name Address
Name Address
Category Publisher  Bookseller Library Supplier Wholesaler Book Shop
  Exporter Importer   Others :
Subject Specialisation Humanities & Social Science Science & Technology  Computer
  Medicine Management  Law   Children & General
  Art & Architecture Bio-Science Others :
Books: Language/Medium English Hindi Others :
Books Category Academic & Reference College Text Books School Text Books Trade / Consumer Books
  Children Books Others :

Optional : Please fill only if you require opening of a credit account with us.  Print this form & send it by mail*
Trade References :
1. M/s  2. M/s 
3. M/s  4. M/s 
5. M/s  6. M/s 
7. M/s  8. M/s 
Bank 1. Address :
Bank 2. Address :
Shipping Instructions :
 

You are kindly requested to open credit account for books published/distributed/sold by you.

I/we undertake to settle payment for the books/materials supplied to us as per your discount term & credit policy.
    Signed by :
Stamp & Signature Designation :      Date :
For Office Use : Remarks
 
Marketing Executive   A/c. Manager GM 
 (Name)                                                                 (Name)                                                         (Name)

* Credit Account will be opened at the sole discretion of the management.

For Opening of credit account please download this opening form and mail the same dully filled , signed and stamped to :

 

Executive Director,

M/s Atlantic Publishers & Distributors (P) Ltd.,

7/22, Ansari Road , Daryaganj,

New Delhi (INDIA).

Pin Code - 110002.