Open a Trading Account | Go Twenty Seven Wholesale

Customer Information

Company Registered Name / Name Sole Trader *

Trading Name (If Different) *

Invoice Address *

Telephone Number *

Fax Number (Optional)

Email Address *

Website (Optional)

Business Type

(Please tick as appropriate)

Partnership Private Ltd Company Public Ltd Company Ltd Liability Partnership

Company Reg Number *

VAT Number (Optional)

EORI Number (Optional)

Delivery Address

Address *

Contact Name *

Email Address *

Accounts Department

Name *

Phone Number *

Extension (Optional)

Email Address *

Mobile Number *

Fax Number (Optional)

Purchase Department

Name (Optional)

Phone Number (Optional)

Extension (Optional)

Email Address (Optional)

Mobile Number (Optional)

Fax Number (Optional)

Business Owner Details

(Sole Trader | Partners | Company Directors)

Owner / Director 1

Name *

Position (Optional)

Address *

Postcode *

Phone Number *

Owner / Director 2

Name (Optional)

Position (Optional)

Address (Optional)

Postcode (Optional)

Phone Number (Optional)

Bank Details

Bank Name (Optional)

Bank Address (Optional)

Sort Code (Optional)

Account Number (Optional)

IBAN Number (Optional)

Please note Bank Details are required if we need to check the bank reference as part of our credit checks.

Trade References

Trade Reference 1

Name (Optional)

Address (Optional)

Postcode (Optional)

Phone Number (Optional)

Trade Reference 2

Name (Optional)

Address (Optional)

Postcode (Optional)

Phone Number (Optional)

Terms & Conditions

I confirm that I am a duly authorised signatory of the Customer and the above information is true and accurate. I have read and understood the terms and conditions included in this application. By signing and returning this form I/we agree to be bound by Go Twenty Seven Ltd’s Terms and Condition of sale.

I agree to the Terms & Conditions

Signature *

Print Name *

Date *

Position *