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  • Supplier Registration Form

    Uploaded by

    Steven Singleton
    11 views2 pages
    This document contains contact and financial details for Impedans Ltd, including the company's registered and trading names, parent company name, registration and VAT numbers, website, address, general details of services/goods, purchase order and remittance contact names, emails, phones and addresses, bank name, IBAN, BIC, addresses, payment terms, beneficiary name, account number, currency, and a certification signed with a name and position.

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    This document contains contact and financial details for Impedans Ltd, including the company's registered and trading names, parent company name, registration and VAT numbers, website, address, general details of services/goods, purchase order and remittance contact names, emails, phones and addresses, bank name, IBAN, BIC, addresses, payment terms, beneficiary name, account number, currency, and a certification signed with a name and position.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    11 views2 pages

    Supplier Registration Form

    Uploaded by

    Steven Singleton
    This document contains contact and financial details for Impedans Ltd, including the company's registered and trading names, parent company name, registration and VAT numbers, website, address, general details of services/goods, purchase order and remittance contact names, emails, phones and addresses, bank name, IBAN, BIC, addresses, payment terms, beneficiary name, account number, currency, and a certification signed with a name and position.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 2

    Impedans Ltd

    Section A COMPANY DETAILS

    COMPANY
    Address 1
    REGISTERED NAME

    COMPANY TRADING
    Address 2
    NAME

    PARENT COMPANY
    Address 3
    NAME
    COMPANY
    REGISTRATION DUNS NUMBER
    NUMBER

    VAT NUMBER WEBSITE

    GENERAL DETAILS
    OF SERVICES /
    GOODS

    Section B PURCHASE ORDER CONTACT DETAILS

    CONTACT NAME Address 1

    EMAIL Address 2

    PHONE Address 3

    Section C REMITTANCE CONTACT DETAILS

    CONTACT NAME Address 1

    EMAIL Address 2

    PHONE Address 3

    Section D FINANCIAL DETAILS

    BANK NAME IBAN

    BANK ADDRESS 1 BIC

    BANK ADDRESS 2 PAYMENT TERMS

    BENEFICIARY NAME PAYMENT METHOD

    ACCOUNT NUMBER CURRENCY

    CERTIFICATION
    I hereby affirm that all information supplied is true and accurate to the best of my knowledge and belief, and I understand that this information will be
    considered material in the evaluation of quotations, bids, and proposals. Notice must be given of any change in status impacting the information
    provided within ten (10) days of said change.

    Name Position

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