New Customer Account Form

Sole trader / Individual / Partnership applications to be completed and supported with two forms of ID.

1. Valid copy of photo driving license, passport or firearms certificate.
2. Utility bill dated in the last 3 months, current Council Tax bill or bank statement dated in last three months.

Limited Company applications to be supported with a copy of the company letterhead, completed, and signed by a director including the company registration no, incorporation date and VAT number [if applicable].

Please bring ID to the office on arrival.

Applicant Information

Name *

T/A [Company name if different]

Address *

Postcode *

Telephone Number
[if multiple contacts offered, please mark preferred contact]

Mobile Number *
[if multiple contacts offered, please mark preferred contact]

Email Address *
[if multiple contacts offered, please mark preferred contact]

Contact Name for account
[if different to above]

Trading information

Trading Style *
[if partnership - names and addresses of all parners below]

1st order value/expected monthly spend *
[Value in £]

Co Registration Number

Incorporation Date

Holding Number *

UK Flock Number

VAT Registered *

Purchase Order

General Data Protection Regulations [GDPR]

I agree to receive marketing including future sales catalogues by the following communications methods:

Method	Consent
Text *
Email *
Post *

Privacy and Website Data Protection Policy - Harrison and Hetherington (harrisonandhetherington.co.uk)

Declaration

By checking this box, you agree to have read, understood and abide by the Harrison and Hetherington Limited terms and conditions of sale and purchase published on our website https://harrisonandhetherington.co.uk/terms/. If the above details change at any time, I agree to make Harrison and Hetherington Limited aware of any changes to the above submitted detail and complete a new account form.

Name *

Date *