Accounts receivable form

Terms of payment and delivery:
All orders with a net-goods value starting at € 400 excluding VAT will be delivered free of charge. Orders below this value will be subject to shipping costs.
The first three orders will have to be shipped COD (Cash On Delivery).
Upon receipt of orders, always be sure to check the shipment and report any damage before signing the delivery note. Please report any deviations in quantity and/or claims by Fax within 48 hours.

Any goods to be returned or repaired may be given to the sales rep to be returned, pending approval from Groothandel Smulders. Returns and/or repairs may never be given directly to the DHL driver for return.
Orders placed before 11:00 a.m. will be shipped the same day.

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*Required information.

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DELIVERY ADDRESS
Company Name: *
Name contact person: *
Address: *
Postal code + City: *
Phone: *
Fax number:
E-mail address: *
INVOICE ADDRESS
Company Name: *
Name contact person: *
Address: *
Postal code + City: *
Phone: *
Fax number:
Mobile Number: *
E-mail address: *
OTHER DATA
Bank account number: *
Direct debit: *
Payment term: (number of days) *
VAT number: *
Chamber of Commerce number: *
Swift-address: *
Iban-number: *
Member of organization: *
If Yes, which:
Discount agreements/code:
Opening Hours:
Representative name: *
In the context of the new European privacy legislation, Groothandel Smulders is legally obliged to request permission for the collection and processing of personal data. If you want to know how we deal with the collected data and for what purposes they are used, please read our: Privacy statement
I hereby consent *
to the collection and processing of personal data

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Accounts receivable form

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DELIVERY ADDRESS

INVOICE ADDRESS

OTHER DATA