New Customer Form

Company Name*
Company Registration No. (if applicable)
Phone Number*
Current number of employees
Invoicing
Please enter your invoicing address.
Invoicing Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Purchasing
Now we need to collect information about your purchasing contacts.
Note:

This form allows for up to five purchasing contacts, if you need more, please complete the first five and contact us with the additional addresses.
How many Purchasing Contacts would you like?
Purchasing Contact 1 First Name
Purchasing Contact 1 Last Name
Purchasing Contact 1 Phone Number
Purchasing Contact 1 Email Address
Purchasing Contact 2 First Name
Purchasing Contact 2 Last Name
Purchasing Contact 2 Phone Number
Purchasing Contact 2 Email Address
Purchasing Contact 3 First Name
Purchasing Contact 3 Last Name
Purchasing Contact 3 Phone Number
Purchasing Contact 3 Email Address
Purchasing Contact 4 First Name
Purchasing Contact 4 Last Name
Purchasing Contact 4 Phone Number
Purchasing Contact 4 Email Address
Purchasing Contact 5 First Name
Purchasing Contact 5 Last Name
Purchasing Contact 5 Phone Number
Purchasing Contact 5 Email Address
Delivery
Now let's gather some delivery information from you.
Note:

This form allows for up to ten delivery addresses, if you need more, please complete the first ten and contact us with the additional addresses.
How many delivery addresses would you like to set up?
Delivery Contact 1 First Name
Delivery Contact 1 Last Name
Delivery Address 1
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Delivery Contact 2 First Name
Delivery Contact 2 Last Name
Delivery Address 2
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Delivery Contact 3 First Name
Delivery Contact 3 Last Name
Delivery Address 3
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Delivery Contact 4 First Name
Delivery Contact 4 Last Name
Delivery Address 4
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Delivery Contact 5 First Name
Delivery Contact 5 Last Name
Delivery Address 5
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Delivery Contact 6 First Name
Delivery Contact 6 Last Name
Delivery Address 6
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Delivery Contact 7 First Name
Delivery Contact 7 Last Name
Delivery Address 7
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Delivery Contact 8 First Name
Delivery Contact 8 Last Name
Delivery Address 8
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Delivery Contact 9 First Name
Delivery Contact 9 Last Name
Delivery Address 9
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Delivery Contact 10 First Name
Delivery Contact 10 Last Name
Delivery Address 10
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Special Delivery Instructions?
Accounts First Name
Accounts Last Name
Accounts Phone Number
Accounts Email Address
How much credit do you think you will need?
Bank Account Information

Please enter the following information about your bank account so that we can cross reference your bank payments with your account
Account Name*
Sort Code
Account Number
Our standard trading terms are 30 days EOM, please tick if you agree
I agree to use your standard 30 days terms
And finally, your name, so we know who to contact if we have any questions.
Your First Name
Your Last Name
- Please click here to confirm that you wish to open a credit account with Contego and that you agree to Contego's terms and conditions of trading
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Contego Terms and Conditions

New Customer Form

Invoicing

Purchasing

This form allows for up to five purchasing contacts, if you need more, please complete the first five and contact us with the additional addresses.

Delivery

This form allows for up to ten delivery addresses, if you need more, please complete the first ten and contact us with the additional addresses.

Bank Account Information

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