New customer form

Name: Dynamic
Address: Airedale House, 423 Kirkstall Road, Leeds, LS4 2EW
Telephone: +441133471231
Rating: 4.3

Trading/Customer name:
Address 1:
Address 2:
Address 3:
Postcode:
Main contact name:
Telephone number:
Email address:
Currency
VAT no. (if applicable)
Company registration no. (if applicable)
Proof of delivery required? (if applicable)
All invoices are to be paid within 30 days from end of month in which the invoice is dated. It should be noted that we reserve the right to apply interest on overdue accounts at a rate of 2.5% per month, calculated on a daily basis on sums due from the Customer from the final due date until the date of payment. Click to sign. (By signing this form, you are in agreement with our standard Terms & Conditions)	1
Position (if applicable)
Date:

New Customer Form - Proforma