CUSTOMER ACCOUNT APPLICATION FORM (Application for ?· CUSTOMER ACCOUNT APPLICATION FORM (Application…

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    04-Jun-2018

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<ul><li><p> The Former Bus Depot, Moulsecoomb Way, Brighton, East Sussex, BN2 4PN Tel: 01273 608711 </p><p>Fax: 01273 608712 info@ksdenvironmental.co.uk </p><p> CUSTOMER ACCOUNT APPLICATION FORM </p><p>(Application for a credit account our terms are 30 days from date of invoice) </p><p> Customer Details </p><p>Full Business Name:. </p><p>Address: . </p><p> . </p><p>Post Code: .. Contact Name: Email: </p><p>Nature of Business: ............................... </p><p>Company Registration Number:... VAT Number: .. </p><p>Account Type: Skip Hire [ ] Waste Disposal [ ] License No.. </p><p>*Please send copy of Public Liabilities insurance on return with completed form </p><p> Invoice Details To whom, and where are we to send our invoices to? </p><p>Full Business Name: . </p><p>Address: . </p><p> . </p><p>Post Code: .. Contact Name: . Tel:..................... </p><p>Fax: . Email (Invoices &amp; Statements will be sent here). </p><p>Bank Name/Address: .................................. </p><p> .. </p><p>Bank Account Name: .. Sortcode: . ACC No: </p><p>Do you require Purchase Order numbers on all invoices? Yes [ ] No [ ] </p><p>Trade Reference - Please supply 2 full referees </p><p>Supplier Name: . .. Supplier Name: </p><p>Address: Address: </p><p> ... .. </p><p>Telephone No: Telephone No: .. </p><p>Contact Name: .................... Contact Name: ................ </p><p>Email: . Email: .......... </p><p>AUTH COMPANY SIGNATURE:.. PRINT: . </p><p>Official use only </p><p>4yd 6yd 8yd 10yd 12yd RO/RO Haulage Tonnage </p><p>Weighbridge Disposal Charge Min Charge </p><p>Account Approved [ ] Account Rejected [ ] Signature: </p>Tel:</li></ul>