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New Customer Account Form
W
www.vinoslatinos.co.uk
E
hola@vinoslatinos.co.uk
T
020 8293 4405
About Your Business
Email:
*
Type of Business:
Type of Business:
Restaurant / Hotel
Type of Business:
Bar
Type of Business:
Wholesaler
Type of Business:
E-Commerce
Type of Business:
Retail
Legal Entity:
Legal Entity:
A
Partnership
Legal Entity:
B
Limited Company
Legal Entity:
C
Sole Trader
Legal Entity:
D
Other
Company Registered Name:
Company Registration Number:
Company Registered Address:
Same Address For Deliveries?
Same Address For Deliveries?
A
Yes
Same Address For Deliveries?
B
No
VAT Registration Number:
Your Bank Details:
Bank Name, Account Name, Sort Code and Account Number
Permission To Credit Check:
Permission To Credit Check:
A
Yes
Permission To Credit Check:
B
No
Business Structure
Number of Sites:
Number of Employees:
Annual Turnover:
Ordering Information
Please fill in all the applicable information
Order Types:
Order Types:
Duty Paid
Order Types:
Under Bond
PRIMARY/BUYER CONTACT:
Full Name:
Email:
Telephone:
ACCOUNTS CONTACT:
Same as above?
Accounts Contact - Same as above?
A
Yes
Accounts Contact - Same as above?
B
No
ORDERS CONTACT:
Same as above?
Orders Contact - Same as above?
A
Yes
Orders Contact - Same as above?
B
No
LOGISTICS CONTACT:
Same as above?
*
Logistics Contact - Same as above?
A
Yes
Logistics Contact - Same as above?
B
No
Special Delivery Instructions:
Is there anything specific we need to know?
Any special access, vehicle or booking in requirements?
Telephone for deliveries:
Trade References and T&Cs
Please fill in all the applicable information
Trade References:
Trade Reference #1
Business Name:
*
Contact Name:
*
Email:
*
Telephone:
*
Trade Reference #2
Business Name:
*
Contact Name:
*
Email:
*
Telephone:
*
Suggested Credit Limit PCM:
*
T&Cs - Please read them following the link below:
*
Vinos La
tinos Ltd Terms of Trading
T&Cs - Please read them following the link below:
I Agree
I have read and accepted this document:
*
I have read and accepted this document:
Yes
Signature:
*
Signature
Full Name:
*
Position In Company:
*
Position In Company:
Director
Position In Company:
Partner
Position In Company:
Owner
How Did You Hear About Us? / Additional Comments:
Submit
