PLAS-FIT UK CUSTOMER ACCOUNT FORM

Your Name: (Required)

Your Email: (Required)

Please leave this field empty.

Type of Business:
BusinessLtd CompanyOrganisationIndividual

Company/Individuals name:

Company/Individuals address:

Trading Address:

Billing Address:

Business Telephone:

Business Email:

Business Website:

Do you require a Purchase Order/Reference Number for payment?

Customers Payable Contact Name:

Customers Payable Telephone Number:

Customers Payable Email:

VAT Number:

Payments Accepted By:
Bank transfer/Cash/Credit Card/Debit Card.
New accounts may be subject to a CRC.

Please tick below to indicate your agreement to the terms and details above.

Signed: Type name (Required):

 
Date: Any format (Required)