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Client Application Form

Customer Details

Business Type Limited CompanyPartnershipSole Trader

Company Start Date

Delivery Details

Customer Contact Details

Pricing Information Email

Please note all accounts paperwork will be sent via email

Payment Type (strictly 30 days net) BACSDebitCredit Card

PLEASE NOTE CHQS ARE ACCEPTED SUBJECT TO CERTAIN CREDIT CONDITIONS

Partnership / Sole Trader

Declaration

Data protection Act: We may make a search with a credit reference agency and will hold a copy of this information, which may be shared with other businesses. We may also make enquires about the principal directors with a credit reference agency.Please note that all information is securely stored. We are registered with date Protection.I/We the undersigned confirm the information given herein as true & acknowledge that all business is subject to the suppliers terms and conditions including payment terms available to view on the website.

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Your email address

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Signed by Julie Rennison
Signed On: April 30, 2024

Timestamp

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April 16, 2024 9:35 am BST

Client Application Form Uploaded by Julie Rennison - julie@walkerhumphreyltd.co.uk IP 86.3.39.5