Account Opening Form

Complete all required fields below to apply for a distributor account with PRS IMPORTS LTD.

Application for Account Opening

Customer Details

Company name *

Delivery Address *

Delivery Address (line 2)

Postcode *

Type of company *

Limited CompanySole TraderPartnership

Company Registration number

VAT Number

Registered Office Address (if different from above)

Registered Office Postcode

Owner / Director Name and Contact *

Purchasing contact name *

Purchasing contact number *

Store Email *

Account contact name *

Account contact number *

Accounts Email *

We will send a verification code to this accounts email to confirm it belongs to your business before your application is submitted.

To be Filled By Sales Representative

Route Name

Reorder Time (In Weeks)

Trade References

Company 1

Contact name

Postcode

Address

Telephone

Bank Details

Bank name *

Branch *

Account number *

Sort code *

I, ________________, hereby authorise PRS IMPORTS LTD to obtain references from the above, as and when appropriate. I agree to abide by the Terms and Conditions as set out by PRS IMPORTS LTD which include that all invoices are due to be paid within 30 days from the date of invoice, and that a Purchase Order must be given for services rendered.

Signed *

Printed name *

Position *

Date *

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Become a Distributor
Account Opening Form

Account Opening Form

Complete all required fields below to apply for a distributor account with PRS IMPORTS LTD.

Application for Account Opening

Customer Details

Company name *

Delivery Address *

Delivery Address (line 2)

Postcode *

Type of company *

Limited CompanySole TraderPartnership

Company Registration number

VAT Number

Registered Office Address (if different from above)

Registered Office Postcode

Owner / Director Name and Contact *

Purchasing contact name *

Purchasing contact number *

Store Email *

Account contact name *

Account contact number *

Accounts Email *

We will send a verification code to this accounts email to confirm it belongs to your business before your application is submitted.

To be Filled By Sales Representative

Route Name

Reorder Time (In Weeks)

Trade References

Company 1

Contact name

Postcode

Address

Telephone

Bank Details

Bank name *

Branch *

Account number *

Sort code *

Signed *

Printed name *

Position *

Date *

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Account Opening Form

Customer Details

To be Filled By Sales Representative

Trade References

Bank Details

Account Opening Form

Customer Details

To be Filled By Sales Representative

Trade References

Bank Details