New Customer Account Application Form Business Details Full legal name of business (required) Trading name (if different) Description of business Pub type FreeholdLeaseholdTenantedManaged Business address (required) Business telephone no. (required) Website Contact name (required) E-mail (required) Mobile no. VAT No. AWRS No. (if applicable) Length of time trading Any other trading names used in the last 5 years Status Limited companyPartnershipSole TraderOther If Other, please specify Limited Companies Full name of the company Company registration no. Address of registered office Directors / Partners Director/Partner 1 Name Address Line 1 Address Line 2 Town/City Postcode Telephone Email Director/Partner 2 Name Address Line 1 Address Line 2 Town/City Postcode Telephone Email Director/Partner 3 Name Address Line 1 Address Line 2 Town/City Postcode Telephone Email Purchasing Contact Name Telephone number Email Accounts Contact Name Telephone number Email Would you like statements Emailed/Posted? EmailedPosted Trade References Reference (a) Name Address Telephone Email Reference (b) Name Address Telephone Email Anticipated Credit Limit Amount required (£) Connections Please provide details on all trade bodies you are a member of: Instagram Facebook LinkedIn TikTok Supporting Information Copy of VAT certificate Recent utility bill (business address) Copy of certificate of registration ID copy (Driving Licence/Passport) Signature and Terms Name in block capitals (required) Position in company/firm Date (required) I accept Springbanks Brewery Limited's Terms and Conditions of sale and confirm I have read the data protection notice. Springbanks Brewery Limited follows current data protection laws which include all applicable laws and regulations from time to time in force relating to data protection, privacy and the processing of personal data, including Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data (the Regulation).
