New Account Application Form

New Account Application Form

Please complete all fields in order for us to process your application.
Customer Details

(Or limited company details if applicable)
Customer Account Manager
Trading Name*
Trading Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Telephone Number*
Email*
example@example.com
Company Registration No.
Year Incorporated
Director/Proprietor/Partner Details

(If not a registered company)
Name - Contact 1*

First NameLast Name
Home Address - Contact 1*

Street Address

Street Address Line 2

CityCounty

Post Code
Telephone Number - Contact 1*
Name - Contact 2

First NameLast Name
Home Address - Contact 2

Street Address

Street Address Line 2

CityCounty

Post Code
Telephone Number - Contact 2
Delivery Address

(Only complete if different to trading address)
Customer Name
Delivery Address

Street Address

Street Address Line 2

CityCounty

Post Code
Phone Number
Marketing
Tick if you would not like to receive offers and updates by:

EmailSMS
By providing us with this information, you allow us to use your personal data to send you marketing information from us. We will not share this information outside of our organisation and you always have the right to ask us to stop these types of communications. Your personal data will not be used in any other way that we do not have your permission for.
Contact for Payments & Statements
Name*

First NameLast Name
Telephone Number*
Email*
example@example.com
To assist our customers, we email copy invoices, credit notes and statements. Please provide the email addresses as follows:
Email copy invoices to:
example@example.com
Email copy credits to:
example@example.com
Email copy statements to:
example@example.com
Delivery Address

(Only complete if different to "Customer Details" above)
Customer Name
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Telephone Number
Site Information & Restrictions
Are there any restrictions or obstacles that block access to your site?

Yes*No
Are there any keys or codes required to gain access to your site?

Yes*No
Are there any other issues we should be aware of e.g. slopes, stairs or slippery surfaces?

Yes*No
*Other information
Please provide relevant information to help us carry out your deliveries efficiently.
Delivery Days (internal use only)

MondayTuesdayWednesdayThursdayFridaySaturday
What is the EARLIEST time you are able to accept deliveries?

Hour Minutes

AM/PM Option
What is the LATEST time you are able to accept deliveries?

Hour Minutes

AM/PM Option
Payment
What are your expected monthly sales?
Expected Monthly Sales
What credit limit are you requesting (monthly value)?
Credit Limit Request (Monthly Value)
Our preferred method of settlement is by Direct Debit, and the relevant assurances that it gives you. Please fill in the separate Direct Debit form and we will collect payment on the agreed date, if this is your preferred payment method.
Direct Debit completed?

YesNo
Credit Terms
Tick one:

Pay by card7 day14 month following
Placing Your Order
Cut off time (internal use only)
Contact Name*

First NameLast Name
Email Address for Online Ordering/Login*
example@example.com
I would like someone to call me to take my order:*

YesNo
If "Yes", what time would you like to be called?
Notifications & Order Tracking
Enable live order tracking, inc. despatch notification (link to track your order) and post-delivery notification (any post delivery order adjustments):*

YesNo
Email for order acknowledgements:*
example@example.com
Copy email for order acknowledgements:
example@example.com
Terms & Conditions
Any order placed with the Company will be taken by the Company as an acceptance of the above Terms and Conditions by the buyer.
- I certify that I have read the above terms and conditions and my signature confirms that I accept them on behalf of the applicant(s) and that I am authorised to sign for and on behalf of the applicant(s).
- I also authorise Savona Foodservice Ltd to conduct any necessary credit reference searches.
Signature*
Print Details*

First NameLast Name
*

Job TitleSavona Account Manager Name
Date*

MonthDayYear
Thank you!

Thank you for applying for an account with Savona Foodservice. Please ensure you have completed all fields before clicking the "submit" button.
Should be Empty:

New Account Application Form

Customer Details

Director/Proprietor/Partner Details

Delivery Address

Marketing

Contact for Payments & Statements

Delivery Address

Site Information & Restrictions

Payment

Credit Terms

Placing Your Order

Notifications & Order Tracking

Terms & Conditions

Thank you!