CUSTOMER INFORMATION FORM

PLEASE ENSURE THAT ALL SECTIONS OF THE FORM ARE COMPLETED

CUSTOMER
INFORMATION FORM

PLEASE ENSURE THAT ALL SECTIONS
OF THE FORM ARE COMPLETED

    Company Name

    Trading Name
    ( IF DIFFERENT FROM ABOVE)

    Address

    Post code

    Mobile

    Accounts Payable Contact

    FAX

    Accounts Payable Email

    Trading Style

    Limited Co

    Sole Trader

    Partnership

    COMPANY REGISTRATION NO

    V.A.T NO

    DATE BUSINESS ESTABLISHED

    Sort Code

    Account No

    BANK NAME & ADDRESS

    TRADING ADDRESS
    ( IF DIFFERENT FROM ABOVE)

    POST CODE

    TELEPHONE NUMBER

    FAX NUMBER

    FOR SOLE TRADERS / PARTNERSHIPS ONLY:

    PROPRIETORS NAME

    PROPRIETORS ADDRESS

    POST CODE

    TELEPHONE NUMBER

    FAX NUMBER

    I CONFIRM THAT THE INFORMATION GIVEN IS ACCURATE, THAT I AM AUTHORISED TO SIGN ON BEHALF OF THE APPLICANT

    COMPANY NAME

    SIGNATURE

    DATED

    Sales Rep

    Signature

    Dated


      Company Name

      Trading Name
      (IF DIFFERENT FROM ABOVE)

      Address

      Post code

      Mobile

      Accounts Payable Contact

      FAX

      Accounts Payable Email

      Trading Style

      Limited Co

      Soletrader

      Partnership

      COMPANY
      REGISTRATION
      NO

      VAT NO

      DATE
      BUSINESS
      ESTABLISHED

      Sort Code

      Account No

      BANK NAME & ADDRESS

      TRADING ADDRESS
      ( IF DIFFERENT FROM ABOVE)

      POST CODE

      TELEPHONE NUMBER

      FAX NUMBER

      FOR SOLE TRADERS / PARTNERSHIPS ONLY:

      PROPRIETORS NAME

      PROPRIETORS ADDRESS

      POST CODE

      TELEPHONE NUMBER

      FAX NUMBER

      I CONFIRM THAT THE INFORMATION GIVEN IS ACCURATE, THAT I AM AUTHORISED TO SIGN ON BEHALF OF THE APPLICANT

      COMPANY NAME

      SIGNATURE

      DATED

      Sales Rep

      Signature

      Dated


      News/Blog