Foodlynx Customer Application
Name of Business
Trading Address of Business
Street Address
Street Address Line 2
City
County / Province
Postal Code
Registered Address of Business
Street Address
Street Address Line 2
City
County / Province
Postal Code
Delivery Address (if different from Trading Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Registration Number
VAT Number
Bank Name
Bank Address
Street Address
Street Address Line 2
City
County/ Province
Postal Code
Bank Account Number
Bank Sort Code
EORI Number
Trade Reference 1
Trade Reference 1 Address
Street Address
Street Address Line 2
City
County/Province
Postal Code
Trade Reference 1 Phone Number
-
Area Code
Phone Number
Trade Reference 2
Trade Reference 2 Address
Street Address
Street Address Line 2
City
County/Province
Postal Code
Trade Reference 2 Phone Number
-
Area Code
Phone Number
Buyer Name
First Name
Last Name
Buyer Email
example@example.com
Buyer Phone Number
-
Area Code
Phone Number
Accounts Payable Name
First Name
Last Name
Accounts Payable Email
example@example.com
Accounts Payable Phone Number
-
Area Code
Phone Number
Payment Terms
Payment on 30 days from date of invoice (Once Credit insurance approved).
Payment by Proforma
Emergency and out of hours contact details
I accept the Trading terms of Food Lynx Limited & am Authorised to sign on behalf of The Applicant Company.
Submit
Should be Empty: