Nilpa Shah

Customer Form

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Information

Document No.
Company Name and/or Trading Name
Registered Address
Date Established
Company Registration Number
VAT Number
Phone Number
Fax Number
E-mail Address
Credit Limit Requested
Invoicing Address (if different from above)

Name of Ultimate Holding Company

Registered Address
Date Established
Company Registration Number
VAT Number
Phone Number
Fax Number
E-mail Address

Authorised Personnel

Authorises Work Orders

Name
Job Title
Phone Number

Authorises Payments

Name
Job Title
Phone Number

Handles Invoice Queries

Name
Job Title
Phone Number

Chief Executive Officer

Name
Phone Number

Chief Financial Officer

Name
Phone Number

Trade References

Trade Reference 1

Address
Phone Number
Fax Number

Trade Reference 2

Address
Phone Number
Fax Number

Nilpa Shah

Customer Form

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.