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Company name: Address: City / town:
Postcode: Country: VAT No:
Contact forename: Contact surname: Contact title
Email: Tel No. Mobile No. Fax No.

Finance details

Registered address, if different: City / town: Country:
Postcode: Company registration No:  
 
Invoice address, if different: City / town: Country:
Postcode: Contact forename: Contact surname: Contact title:
Tel No: Fax No: Email: Requested credit limit (£ or €):

Note:

  1. Our credit terms targeted at 21 days from date of invoice.
  2. On special request, a copy of the POD/CMR can be emailed or faxed to you.
Do you require your order numbers quoted on our invoice? Yes No
How will you send your orders to VMEX? Email Fax EDI Other
If other, please specify:
Are there other items that need to be quoted on our invoices?

You may leave these fields blank if you would prefer us to contact you by phone for this information:

IBAN No : Bank account No / BIC code:

Please tell us how you heard of VMEX:

If other, please specify:

Completed by:
Title/Position:
Date:

On completion of the form, a copy will be emailed to you. In order to complete your application, please check the details and return it with a signed copy of our terms & conditions.

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