COD New Customer Information Form

CUSTOMER INVOICING DETAILS FOR COD ACCOUNT

Form to be completed by all new customers, or in order to update existing information on file. This form is NOT a credit application.
Full Company Name (if applicable)
Company Trading Name (if applicable)
Primary Contact Person (Name)*
Primary Email Address*
example@example.com
Additional Email Address
example@example.com
Primary Contact Number*
Additional Contact Number
Physical Address*
Postal Address
VAT Number (if Applicable)
Notes
All information submitted via this form is subject to our Customer Privacy Policy. Complete Privacy Policy can be viewed here. The person submitting this form hereby confirms that the information submitted is correct and current. By virtue of their signature above, the person submitting this form hereby acknowledges to have read and understood the provisions of the privacy policy.
Name of Person Submitting this form*
Authorized Signature*

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CUSTOMER INVOICING DETAILS FOR COD ACCOUNT