1. Company Details Company Name Telephone Number Website Address Email Registered Address inc Postcode Invoice Address inc Postcode Name of Finance Director Email of Finance Director Type of Company Company Reg No VAT Registration No Year Company Formed 2. Invoicing Details Invoice Contact Name Email Address to send Invoices Accounts Payable Contact Name Accounts Payable Contact Number Accounts Payable Email Address Amount of Credit Requested per Month? 3. Delivery Address (if different to invoicing address) Company Name Delivery Address inc Postcode Telephone Number Mobile Number 4. Bank Details Name Address A/C Name A/C Number Sort Code 5. Trade References Reference 1 Company Name Reference 2 Company Name Reference 1 Address Reference 2 Address Reference 1 Phone Number Reference 2 Phone Number Reference 1 Email Reference 2 Email THIS SECTION FOR SOLE TRADERS OR PARTNERSHIPS ONLY Please state name(s) and private address(es) of Sole Trader/Partners. For Partnerships, please state this for each and every Partner. 1. Name / Address inc Postcode 2. Name / Address inc Postcode Must be signed by a director or the proprietor of the company Name Position Terms of Conditions Check here if you accept the conditions of sale
