New Account Information Form Account Manager email Name of customer Business Name Trading Name (if different from Business Name) Leave blank if not different Business Address (including postcode) Is Delivery Address the same? -- Choose yes / no --NoYes Delivery Address Opening Times / Delivery Instructions Telephone Numbers - please supply at least one Does this customer require a telesales call? -- Choose --NoYesOnline What time of day do they require a telesales call? Indicate by Mo, Tu, We, Th, Fr, Sun. eg. Mo 10:30am Contact name if different from customer name? Online user full name? Online email address What is the overall discount %? Is this a cash / card customer? (Send Account Form) YesNo Has the account form been received by accounts? YesNoOther Please specify What type of business is this? eg. Pub, restaurant, cafe, etc. Has pricing been done? NoYesAlready Sent