SUPPLIER ACCOUNT Account Application Form Step 1 of 7 14% Full Legal Name of Company(Required) Trading Name (If different to that above) Registered Address(Required) Post Code(Required) Date of Incorporation:(Required) MM slash DD slash YYYY Company Registration No(Required) Financial Year End MM slash DD slash YYYY Legal StructureLegal Structure(Required) Sole Trader Partnership Incorporated Company Ltd Plc VAT Registration Number including country code: Director Name of Director No 1(Required) Position(Required) Email Address(Required) Home Address(Required) Post Code(Required) Contact No(Required) Name of Director No 2 Position Email Address Post Code Contact No Person Responsible For Purchasing/Sales Name of Contact(Required) Position(Required) Tel(Required) Mobile(Required) Email(Required) Person Responsible For Account PaymentsName of Finance Contact(Required) Position(Required) Tel(Required) Mobile(Required) Email(Required) Trade Reference 1:Company Name(Required) Contact No(Required) Contact Email(Required) Address(Required) Trade Reference 2:Company Name(Required) Contact No(Required) Contact Email(Required) Address(Required) Legal Documents:Company LetterheadMax. file size: 256 MB.Company Registration Certificate(Required)Max. file size: 256 MB.VAT Registration Certificate(Required)Max. file size: 256 MB.Copy of Utility Bill or Bank Statement(Required)Max. file size: 256 MB.Directors ID: Copy of Passport or Driving Licence(Required)Max. file size: 256 MB. Declaration Untitled We confirm that we have read, understood and will comply with AIODistribution Ltd conditions of sale which are attached. We confirm that the above information is correct to the best of my/ our knowledge and belief Full Name(Required) Position(Required) Date(Required) MM slash DD slash YYYY 71758
