Become a Customer

Business address

Name of establishment
Address line 1
Address line 2
Town / city
County
Postcode
		Use as statement address
Email address

Statement address

Address line 1
Address line 2
Town / city
County
Postcode
Do you want to receive statements by email?
Email address you want statement sent to

Bank details

Name of bank
Address line 1
Address line 2
Town / city
County
Postcode
Account number
Bank sort code
How long have you been a customer of this bank?

About your business

Customer type
Length of time in business
Company registration number
Accounts contact name
Accounts contact phone number
Catering Contact Name
Catering Contact phone number
Current supplier
Monthly spend
Monthly credit required
Trade reference 1
Trade reference 2

Signature
Name of person signing
Signing capacity
Signing date
		We have read, understood and retained a copy of your conditions of sale (including the retention of title clause) and agree to trade in accordance with these for any goods supplied. We accept that title to all goods supplied to us will remain vested in Harlech Foodservice Limited until all amounts outstanding from us on any account have been paid in full. I/We also agree to comply with your settlement terms (specified within your conditions of sale). Settlement terms will be dependant on the taking up of references. By clicking here you agree to the aforementioned terms and conditions. Please tick to confirm your acceptance of these conditions.

Downloads

account application form direct debit mandate