NEW SUPPLIER FORM

SUPPLIER INFORMATION

SUPPLIER'S NAME: *

SUPPLIER ADDRESS: *

TOWN: *

COUNTY: *

POST CODE: *

SALES CONTACT: *

TELEPHONE NO: *

EMAIL ADDRESS: *

FAX NO:

TYPE OF BUSINESS: *

DATE ESTABLISHED: *

REGISTERED OFFICE ADDRESS (IF DIFFERENT):

COMPANY REGISTRATION NO: *

VAT NO: *

ACCOUNTS INFORMATION

PAYMENT TERMS: *

ACCOUNTS NAME & CONTACT NUMBER: *

REMITTANCE EMAIL ADDRESS: *

BANK DETAILS (ALL PAYMENTS MADE BY BACS)

BANK NAME: *

BRANCH: *

ACCOUNT NAME: *

ACCOUNT NO: *

SORT CODE: *

PLEASE SUPPLY AN ORIGINAL AND VOIDED BANK PAYING-IN SLIP OR A VOIDED CHEQUE WITH THIS FORM. *

DECLARATION:

I declare that the information given on this sheet is correct and complete. *

PRINT NAME: *

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