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**

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Types de fichiers acceptés : jpg, png, pdf, docx, xlsx, Taille max. des fichiers : 15 MB.

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 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**