Customer Application Form - English

"*" indicates required fields

Company Details

Company Name*

Website (optional)

Registered address*

Street Address*

Address Line 2

City*

ZIP / Postal Code*

Select country*

Telephone number*

Company Registration number*

VAT No*

Copy of declaration of compliance tax obligation*

Proof taxes are paid

Upload file

Copy of company registration (Chamber of Commerce)*

Copy certificate of foundation

Upload file

File*

Accepted file types: pdf, doc, docx, Max. file size: 15 MB.

File*

Accepted file types: pdf, doc, docx, Max. file size: 15 MB.

Contact name*

Contact Email Address*

Invoicing Email Address*

Shipments Email Address*

Statement Email Address*

Contact Person Flex IT Email Address (optional)

I hereby declare that I am authorized to declare and agree to the following.*

I hereby agree that I [First name/Last name/Job title/on behalf of company] am authorized to declare and agree to the following.

First Name*

Last Name*

Contact name*

On behalf of company*

I hereby declare that the information provided is complete and correct.*

I agree that the information provided is complete and correct.

Declaration

I hereby declare that Flex IT, has informed the above-mentioned legal representative in a timely manner of the Flex IT General Terms and Conditions via the attached link and has made known that the Flex IT General Terms and Conditions can be downloaded via this link. order in connection with this customer application form.*

I agree that the Flex IT General Terms and Conditions have been provided and valid terms are available through this link and I have accepted these terms and conditions and am aware that these terms are applicable for every future.

Privacy conditions

I hereby declare that Flex IT, I the above-named legal representative have been informed in good time of the Flex IT privacy conditions and Flex IT has provided these privacy conditions.*

I agree that the Flex IT privacy terms, are provided and are available through this link.

I understand that Xeptor carries out regular checks to ensure that the creditworthiness can be maintained.*

I agree that Flex IT (Xeptor B.V.) shall performs regular checks to ensure creditworthiness.

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