Account Opening Form

Company Details

Name of Company / Trade Name *
VAT Number
Company Number
Sales Representative *

Business Details

Name of the Owners / Partner / Directors *
Complete Business Address *
Town / City *
Post Code *
Telephone Number
Mobile Number *
Company Website
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Point of Contact

Primary Contact:
Name
Email Id
Mobile Number
Accounts Contact:
Name
Email Id
Mobile Number

Person/s authorized to sign the LPO and other documents

Name
Designation
Name
Designation
Name
Designation

Additonal Information

Terms and Conditions

Terms and Conditions
I hereby agree and confirm that the information and data stated above are accurate. And I will pay all dues to Blindtex UK in accordance with this.
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Verification

Please enter any two digits *Example: 12
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