Customer application form

Company details

Company name**

Trade name

Parent company

Core business**

CoC number**

VAT number**

Date of establishment**

Annual revenue

Bank account number**

Number of employees**

Has there been a change of directors in the past year? **

Yes
No

Has there been a change of management in the past year? **

Yes
No

Billing address

Street name**

House number**

Zip code**

City

Select your country**

Postal address

Complete if different from invoice address

Street name

House number

Zip code

City

County

Select your country

Administration contact person

Name contact person**

Job title contact person**

Phone number contact person**

E-mail address contact person**

Billing E-mail address **

Required documents

Chamber of Commerce extract**

Ziehe Dateien hier her oder

Optional attached documents

Copy of passport (only if the company exists for less than 2 years)
If we do not have a credit limit: Please provide the latest official annual figures, a guarantee from the parent company, a bank guarantee, or any other guarantee.

Declaration

Declaration 1:*

Agree

We will perform a search with a credit reference agency, which keeps track of searches and possibly shares information with companies. We can also inquire with the head boards of a credit reference agency. We will check and record information regarding your credit performance and such records will be made available to other organizations to assess applicants for creditworthiness.

Declaration 2:*

Agree

I hereby declare that the information provided is complete and accurate. The terms and conditions as stated on the next page have been read and approved. All relevant attachments as requested are added to this form. I understand that Flex IT Rent regularly carries out checks to ensure that the creditworthiness is maintained.

Name**

Job Title**