Clone of Customer Onboarding Form

Customer Application Form

Please fill in as complete as possible. That way we will have your account set-up in no time.
General company information
Company Name
Address and housenumber

Street and house No.

Straat en Huisnummer 2e regel

CityStaat / Provincie

Postcode
Postcode
Postcode
City
City
Country
Country
Country
VAT number
Chamber of Commerce registration number (SIREN for France / Steuer No. for Germany)
Your Website
Owners Name

First NameLast Name
General Phone No.
Telephone No.
Buyers Name

First NameLast Name
Mobile Phone No.
Mobile Telephone No.
Mobile No. for WhatsApp (if different than mobile)
WhastApp No. (if different than mobile)
E-mail for orders
E-mail to be used for Unidex webshop (if different than above)
Note that this mail address will be added to our mailing list automatically
E-mail address for invoices (if different from above)
What is your prefered language

Other
What are your opening days and hours?
(please note your opening hours per day below)

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What kind of business do you have?

Other
What food- or product types do you sell?

Other
What is your target audience / what food origins do you sell (you can check multiple boxes)

Other
Delivery and logistics
Contact person for deliveries

First NameLast Name
Telephone number for deliveries
Telephone number for deliveries
E-mail for deliveries
voorbeeld@voorbeeld.com
Do you have a different address for deliveries? If so please please write here

Street and No.

Straat en Huisnummer 2e regel

CityStaat / Provincie

PostcodeCountry

What are your opening hours for deliveries. Please note your opening and closing time (for example 08:00- 17:00) Note that we can only deliver on weekdays, not in the weekend.

Rows	Open for deliveries from	Closed for deliveries at
Monday Delivery Hours
Tuesday Delivery Hours
Wednesday Delivery Hours
Thursday Delivery Hours
Friday Delivery Hours

What are your opening hours for deliveries. Please note your opening and closing time (for example 08:00- 17:00)
Note that we can only deliver on weekdays, not in the weekend.

Monday
Tuesday
Wednesday
Thursday
Friday
Can we reach you by trailer
Is there a transpallet available
Does our truck need to have a taillift
Is there any additional info for deliveries?
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Do you have specific information or instructions you wish to share
Acceptence of Unidex's general terms and conditions

By submitting this form you declare that you have read and accepted the sales and delivery terms and conditions as per July 2024. You can find these conditions on our website by clicking here
Name

First nameLast Name
Should be Empty:

Customer Application Form

General company information

Delivery and logistics

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