New Customer Signup - LTD Company

Company Info

Company Name *

Company Registered Address *

Company Registration Number *

VAT Registration Number

Company Contact Number *

Company Contact Email *

Company Website

Director/Personal Info

Director Name *

Director Position *

Director Address *

Director Contact Number *

Director Contact Email

Credit Information

Bank Name *

Preferred Method of Billing

Email Post

Bank Address *

Bank Contact Number

Bank Account Name *

Bank Account No (if UK)

Bank Account Sort Code (if UK)

Bank IBAN (if EURO)

Bank BIC (if BIC)

Business Reference

Company 1 Name *

Company 1 Address *

Company 1 Email Contact *

Company 1 Phone Contact *

Company 2 Name

Company 2 Address

Company 2 Email Contact

Company 2 Phone Contact

Agreement

1. All Invoices are to be paid within 30 days from the date of the invoice. *

Yes

2. Claims arising from invoices must be made within seven working days. *

Yes

3. By submitting this application, you authorize BitBahn to make inquires to the banking and business references you have supplied *

Yes

Name *

Position *

Date *