Register_New

Name *

Position

Company Name *

Company Registration No *

VAT Registration No *

Address *

City/Town *

Postcode *

Telephone No *

Mobile No

Fax No

Email *

INVOICE/DELIVERY ADDRESSES

Delivery Address*

Invoice Address*

ACCOUNTS INFORMATION

Accounts Contact*

Accounts Telephone*

Accounts Fax*

Accounts Email*

Requested Credit Limit*

Bank Details*

Date Business Established*

Website Address*

Is your company part of a group? Yes/No*

If Yes please state your company name*

Managers Name*

TRADE REFERENCES

Reference 1

Business Name *

Contact Name *

Telephone No *

Reference 2

Business Name *

Contact Name *

Telephone No *

I agree to T&C's * Read terms & conditions

Please enter the current year to prove you are human*

Credit accounts available to companies registered in the United Kingdom. Companies registered outside of the UK please contact the accounts office accounts@switchtec.com.