RNIB Enterprises Limited - Trade & Business Application

RNIB Enterprises Limited - Trade & Business Application
First off - Let's verify your email address

If you have any issues filling out this form, please email: creditapplications.mailbox@rnib.org.uk
Please enter your Email Below*
Enter your Email Address again below, click 'Verify Email' and then check your inbox for the verification code, finally, enter the code below and click 'Confirm Code':*

Company Information
Company Name*
Legal Entity*
Trading as Style (if applicable)*
Nature of Business*
Office Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Telephone No*

Area CodePhone Number
Office Email Address*
Invoicing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Invoicing Telephone No*

Area CodePhone Number
Invoicing Email Address*
VAT Registration No*
Company Registration No*
Dunns No
Number of Years Established*
Date of Registration

DayMonthYear
Parent Company Name (if applicable)
Who is your contact at the RNIB?*
RNIB Contact Name

Contact Details
Accounts Contact Name*
Accounts Telephone No*

Area CodePhone Number
Accounts Email Address*
Purchasers Contact Name*
Purchasers Telephone No*

Area CodePhone Number
Purchasers Email Address*

Sole Traders /Partner (1) Details (If not Ltd or a PLC Entity)

Please skip this section if not applicable
Sole Trader 1 Full Name
Sole Trader 1 Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Sole Trader 1 Telephone No

Area CodePhone Number

Partner No 2

Please skip this section if not applicable
Partner 2 Full Name
Partner 2 Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Partner 2 Telephone No

Area CodePhone Number

Credit Limit Information
Anticipated Monthly Spend*
Maximum Limit Credit Required*
Prepayment Account?*

YesNo

Agreement to The RNIB Terms and Conditions of Sale
Signed*

Clear
Print Name*

First NameLast Name
Date*

DayMonthYear
Position*
Royal National Institute of Blind People

Any queries relating to this form or your application please contact CreditApplications@rnib.org.uk

Registered Office Address:
154A Pentonville Road,
King's Cross,
London,
N1 9JE

Incorporated by Royal Charter. Registered Charity No. 226227.

VAT Registration No. 524 4558 45
Should be Empty: