Customer Application Form - Redlynch Tractors

Redlynch Sales Representative (optional)

Phone number (required)

Company status: (e.g. Unlimited Co. / Limited Co. / Plc) (required)

Full Company/Business/Firm Name: (required)

VAT Number: (optional)

Contact Address

Business address of Company: (required)

Post Code: (required)

Telephone (required)

Mobile Number (required)

Contact Details

Contact Name 1: (required)

Email Address (required)

Contact Name 2: (required)

Email Address (required)

Marketing Preferences

I am happy for Redlynch Agricultural Engineering Limited to contact me in relation to our products, special offers and promotions, events, shows and open days using the following methods(Please tick);

post

phone

Trading Reference Details

Name and address of Trade Reference - Supplier 1: (required)

Post Code: (required)

Telephone Number: (required)

Email Address: (required)

Period traded with this supplier: (required)

Name of contact: (required)

Name and address of Trade Reference - Supplier 2: (optional)

Telephone Number: (optional)

Email Address: (optional)

Period traded with this supplier: (optional)

Name of contact: (optional)

Agreement to the Company’s Terms and Conditions

I have received and read and understood the Company’s Terms and Conditions for the Supply of Goods and Services and agree to abide by them. I am aware that the company must be notified, in writing of any Invoice queries within 10 days from date of invoice.

(To be signed by a Director of the company or 1 or more signatures for non-limited Companies)

Signed: (required)

Date: (required)

Print Name: (required)

Position: (required)

If non-limited 1 or more signatures required:

Signed:

Date:

Print Name:

Position:

Contact Address

Contact Details

Marketing Preferences

Trading Reference Details

Agreement to the Company’s Terms and Conditions

Somerset

Dorset

Wiltshire

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