Company Registered Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Trading Name (if any) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Company Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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VAT Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Bank Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Account Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Sort Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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IBAN (for non UK) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Bank Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Operation Contact Details
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Telephone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Duty Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Accounts Contact Details
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Telephone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Invoicing - please fill it carefully
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Invoicing Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Terms {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Statements Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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We require payment to terms. Payment must be made on time, in full, and without any deduction, set off or counterclaim. In the event that an account is outstanding over the agreed terms, we will without hesitation refer the matter to our debt collection agents, Direct Recovery Associates, which will incur a charge of 15% of the total debt. This will be added to the debt, plus VAT at the prevailing rate. You agree that you will be legally liable to pay us that surcharge, and that payment of the same can be enforced against you in court. You also agree to pay interest at the relevant reference rate provided for under the Late Payment of Commercial Debts (Interest) Act 1998, on which interest is payable both after and before any judgment of the court and continues to accrue.
Please reffer to our T&C's on http://wiselogistics.uk/carriage.html { binding firstError.message }
Declaration
I believe all details given above are true and I do agree to above terms and conditions.
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Position {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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