Account Application form COMPANY DETAILS Comp. Name * VAT Nr. * Comp. Reg. Nr. * Owner * Legal Identity * Type of Business Retail Catering Foodservice / C&C Industry Business Days from / till Mon Tue Wed Thu Fri Sat Sun hours Business Hours till 6.00 hours 6.30 hours 7.00 hours 7.30 hours 8.30 hours 9.00 hours uur INVOICE ADRESS Adress & Nr * Postal codes & City * Country * Telephone * Fax Email * Website DELIVERY ADRESS (When different from Invoice Adress) Name Delivery Adress & Nr. Delivery Postal codes & City Delivery Country Delivery Telephone Delivery Fax LOGISTICS Opened from / to Monday Tuesday Wednesday Thursday Friday Saturday Delivery Times from hours Delivery Times till hours Accesable by Lorry Artic Truck Van Present Loading Bay Tail lift needed Forklift on site Please specify any parking restrictions: Purchase Manager Purchase Manager Name Telephone Fax Email Logistics Manager Name Mob. Nr. Fax Email Contact accounts payable Name Telephone Fax Email Bank Account Nr BIC / SWIFT code How would you like to receive our invoice By mail By mail & Email By Email Email At which e-mail address do you want to receive our offers By Post By Post & Email By Email Comp. Reg (pdf) Send
