Customer Account Application Form

Which company do you require to setup an account with?

YOUR COMPANY DETAILS Company Name Registered Office Address Post Code Company Reg. No. VAT No. Estimated Credit Limit Required (£) Trading Style Is the company part of a group? If yes to above, please give details Which department or person at Bennie have you been working with?

INVOICING DETAILS Accounts Email Address Accounts Tel. No Accounts Contact Name Do you use a purchase order process for orders Subcontractor UTR No. (subcontractors only.) CIS Supplier

FINALLY Name of person completing this form Would you like to open an account with another Bennie company Please confirm that you have read and agree to our Terms and Conditions

Customer Account Application Form

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