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**
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**

Customer application form

Company details

Billing address

Postal address

Administration contact person

Required documents

Declaration