New Customer REGISTRATION Form

New Company Form
Full Company Name:
Trading Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office phone number*

Area CodePhone Number
Office E-mail
example@example.com
Registered Office Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main contact

First NameLast Name
Main contact's direct dial/mobile*

Area CodePhone Number
Main contacts E-mail
example@example.com
Account's Department contact

First NameLast Name
Account's Department phone number

Area CodePhone Number
Accounts department e-mail address
example@example.com
Invoice Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Further company details

Limited CompanyLLPPartnershipPLCSole TraderCharity
Companies House number (if applicable)
VAT registration number (if applicable)
Name (s) of proprietors, partners or directors
Marketing Preferences

Orange Fox Electrical would like to send you details of offers, products & services.
I would like to receive these by email*

YesNo
All services are provided by Orange Fox Electrical Ltd and are subject to our standard terms and conditions of business, a copy of which can be found by clicking the link below. A deposit may be required before we commence works. This will be advise to you at the time. Terms & Conditions

Our settlement terms are 30 days end of month

*** Please note we may carry out a credit check in order to setup your account with us. ***

I/We agree to abide by the terms of trading as listed above and as the attached terms and conditions.
NamePosition
Signature*

Clear
Date

DayMonthYear
Date
NamePosition
Signature

Clear
Date

DayMonthYear
Date
Office Use Only
Credit Checked

YesNo
Agreed Credit Limit
Date

DayMonthYear
Date
Review Date

DayMonthYear
Date
Registered in England and Wales: 06628469 Registered office: C/o Norwich Accountancy Services Limited, 10a Castle Meadow, Norwich, Norfolk, NR1 3DE. VAT No: 935 4539 04
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New Company Form