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Customer onboarding form

Customer onboarding formBob Simmonds2023-04-05T23:14:11+00:00

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Company information

Company Name

Legally registered name

Company Registration Number

Company registration number (Worldwide)

VAT Registered?

Yes
No

Business information

Company Registered Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Legally Registered Business Address

Primary Business Contact

First

Last

Sales Contact

Primary Business Email

Primary Business Phone

Receive our stock list weekly?

Yes
No

Shipping information

Are the delivery details the same as the registered address?

Delivery Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Legally Registered Business Address

Accounts information

Primary accounts contact

First

Last

Invoicing email address

Email all invoices should be sent too

Accounts phone

Do you agree to our Terms and Conditions?

For our terms and conditions please visit – https://circlestock.com/terms-and-conditions/

Requested Credit Terms

Pre-Payment Only
NET7
NET14
NET30