I/we consent to the obtaining of bank/credit and/or personal information as may be required at any time in connection with the credit hereby applied for or renewal or extension thereof and to the disclosure of the credit information concerning me/us and/or my/our company to any credit reporting agency or to any person with the undersigned who has or purports to have financial relations. I/we further agree to indemnify MGI Distribution from all claims, which may arise because MGI Distribution disclosed information about myself/us and/or my/our company. I/we further agree to pay a service charge, currently 2% per month compounded monthly (26.82% per annum) on any overdue balance until paid. In the event that any action or suit is instituted to collect amount due on our accounts, I/we agree to pay all legal and collection fees in addition to the amount owed plus interest charges.

I / WE CERTIFY THAT ALL INFORMATION ON THIS FORM IS CORRECT.

I have read and understand the Privacy Policy and Terms & Conditions and agree to recieive personalised commercial communications from MGI Distribution by Email.