Customer Account Application

Customer Account Application with York Data Services Limited

Registration Number: 4753514 - Registered Office: 3 Innovation Close, York Science Park, York YO10 5ZF

Contact Details

Name of Company / Business / Individual *

Registered Address Line 1 *

Registered Address Line 2

City

Postcode

Company Telephone Number *

The main number used for contact

Trading address same as registered address? *

Yes

Trading Address Line 1

Trading Address Line 2

City

Postcode

Accounts Information

First Name *

Last Name *

Email *

Telephone Number *

Invoice address same as registered address? *

Yes

Invoice Address Line 1

Invoice Address Line 2

City

Postcode

Any special instructions for invoicing? E.g. is a purchase order required? *

Yes

Special Invoicing Instructions

Company Registration Number

VAT Registration Number

To Be Completed If The Business Is Not A Registered Limited Company

Are your registering on behalf of a limited company? *

Yes

Name of Partner / Proprietor

Private Address Line 1

Private Address Line 2

City

Postcode

Telephone Number

Declaration *

I/We are requesting credit facilities with York Data Services Limited. I/We have read and accept your terms and conditions, undertake that settlements will be made within 30 days from invoice date and that title of goods remain with York Data Services Limited until paid for in full. Where I/We provide you with personal data (“data”), I/we understand that the data will be held securely in confidence and processed for the purpose of carrying out your business and associated activities. In considering my/our application, I/we accept that you may consult with and disclose the data to credit reference agencies, banks, credit insurers, and other responsible organisations outside your business that you have nominated (“third parties”) and that such third parties may process the data.

I Agree

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