Account Application form COMPANY DETAILS Comp. Name * Owner * Contact person * VAT Nr. * Comp. Reg. Nr. * Type of Business * Retail Catering Foodservice / C&C Industry Online webshop INVOICE ADDRESS Address & Nr * Postal code & City * Country * Telephone * Email * Website DELIVERY ADDRESS (If different from Invoice Address) I arrange my own transport No Yes Name Delivery Address & Nr. Delivery Postal code & City Delivery Country Delivery Telephone LOGISTICS Open on Monday Tuesday Wednesday Thursday Friday Saturday Delivery Times from 08.00 uur 09.00 uur 10.00 uur 11.00 uur 12.00 uur 13.00 uur 14.00 uur 15.00 uur hours Delivery Times till 09.00 uur 10.00 uur 11.00 uur 12.00 uur 13.00 uur 14.00 uur 15.00 uur 16.00 uur 17.00 uur 18.00 uur 19.00 uur 20.00 uur hours Accessible by * Lorry / Int. Truck Artic Truck Van Present * Loading Bay Tail lift needed Forklift on site Please specify any parking restrictions: Purchase Manager Purchase Manager Name Telephone Email Logistics Manager Name Telephone Email Contact accounts payable Name Telephone Email At which e-mail address do you want to receive our offers By Post By Post & Email By Email How did you find us? * Google Friends Social media Customers Other Send
