Saferoad VRS New Supplier Questionnaire

Registered Business Name

Registered Trading Address

Company Registration Number

Vat Code. Please Select from the Drop Down Menu Below.

Vat Registration Number

Person Responsible For Credit Control/Accounts

Email Address For Person Responsible for Credit Control/Accounts

Person responsible for Sales Ledger

Position

Email

Phone/Mobile Number

Remittance Email Address

Name Of Bank

Name Bank Account In

Bank Account Number

Sort Code

IBAN

SWIFT/BIC Code

Can you provide references from existing clients?

If Yes, please upload here

Factored Company

Please select one option from the drop down menu

Factored Company Name

Factored Company Address

Factored Company Contact Name/Email Address/Phone Number

Please Upload Your Companies Credit Application Form Here If Required.

All Invoices Are To Have PO number Clearly Stated. Any Invoices Without A Relevant PO May Be Delayed

Please Send Invoices And All E-POD's to :- sue.freeman@saferoad.co.uk

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