Account Creation Form

Account Creation Form
Hako Sales/Customer Support Person:*
We hereby apply to open a credit account with your company and detail below the relevant information. No orders can be logged on the system until the form has been completed. This will be sent to Accounts@hako.co.uk for review.
Company Name & Address
Trading Name/Title:*
Registered Address:*

1st Line of your address

2nd Line of your address

Town/CityCounty

PostCode
Company Details
Telephone Number:*

Area CodePhone Number
Company Email:*
example@example.com
Year Established:*

DayMonthYear
Date
Company Reg No:*
VAT Reg No:
Type of Company:*

Sole TraderPartnershipPLCLtdOther
Delivery Address:
Is your delivery address different to your billing address?
Delivery Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Accounts Payable
Contact Name:*

First NameLast Name
Telephone:*

Area CodePhone Number
General Account Email Address:*
example@example.com
Invoice Email Address:
example@example.com
Invoice Portal Upload:*

YesNo
Statement Email Address:
example@example.com
Credit Limit:*
Trade References
Company Name:
Contact Name:
Telephone:
Email:
Credit Limit/Terms:
Authorised Personnel
Authorised Personnel:*

MDFinance DirectorFinance ManagerOther (Please Specify)
Other:*
Full Name:*

First NameLast Name
Authorisation and Declaration

We confirm that the information provided is accurate and complete. we authorise Hako Maches Ltd to contact the above references and perform credit checks (including credit reporting agencys, where appicable). We understand and agree to your trading term and conditions.

30 Day end of month standard payment terms to see full T's & C's please follow the link; Hako Website
Signature:

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Date:

DayMonthYear
Date
Should be Empty:

Account Creation Form

Company Name & Address

Company Details

Delivery Address:

Accounts Payable

Trade References

Authorised Personnel