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Supplier Application |
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Name and Address |
________________________________________________________________ |
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__________________________________________________________________________________ |
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Post Code: |
___________________________ |
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Tel No: |
____________________________________ |
Fax No: |
___________________________ |
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Email: |
__________________________ |
Contact Name: |
___________________________ |
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Company Reg No (if applicable) |
_______________________________________________________ |
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VAT Reg No: |
________________________________________________________________ |
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CCA Licence No: |
________________________________________________________________ |
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CCA Categories: |
________________________________________________________________ |
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CCA Licence Date: |
________________________________________________________________ |
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Bank Details (required for Invoice Payement by BACS) |
____________________________________ |
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__________________________________________________________________________________ |
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__________________________________________________________________________________ |
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Account No: |
__________________________ |
Sort Code: |
___________________________ |
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Account Name: |
________________________________________________________________ |
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Products Sold |
________________________________________________________________ |
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__________________________________________________________________________________ |
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__________________________________________________________________________________ |
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__________________________________________________________________________________ |
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__________________________________________________________________________________ |
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Agencies Held: |
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Current Annual Lease/Finance Turnover: |
£ |
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