New customer account formPlease complete this form to set up a trade account.For any questions please contact:hello@growildacai.co.uk Start form New customer account form Company Trading Name * Registered Name (If different from the above) Registered Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Delivery Address the same as registered Address Multiple Addresses (please give addresses in box below) Legal form of Business * Sole Trader Private Limited Company Limited Liability Partnership Partnership Public Liability Company Other Co. VAT Number Co. Registration Number Ordering Details Name of main contact * First Name Last Name Main contact phone number * Main contact email * Delivery Details Delivery Address Address 1 Address 2 City State/Province Zip/Postal Code Country Specific delivery instructions Delivery contact phone number Delivery contact email Additional Delivery addresses (multiple sites attached to one account) Accounts Department Details Accounts contact name * First Name Last Name Accounts contact phone number * Accounts contact email * Other Any additional information Terms and Conditions Pricing will be confirmed via email by hello@growildacai.co.uk Payment is required before goods are dispatched. Grow Wild Acai Ltd reserve the right to place your account on hold if these payment terms are not met or withdraw credit facilities in extreme situations. Return of this form confirms acceptance of these Terms and Conditions. Thank you for for supporting us and the communities in the Amazon, who pick our wild fruit.
