Customer Details
Process as
(Please tick appropriate box) / Create Amend Re-open
X
Payer Number
Enter for Amendments or Re-open / In Kind Direct / Link A/c to Corporate Number / 3010117
Sales Office / Andover / In Kind Direct Charity Number* / CH ______
Charity commission* registration number
Full Charity Name*
Address Line 1*
Address Line 2*
Street*
City/Town/County / Postcode*
Land Line Phone No. * / Fax
Main Buyer Full Name
Main Buyer Telephone / Position
Main Buyer Email Address
Bought Ledger Name / Bought Ledger Tel.
No. of White Collar Workers / Is Account: / Online?
Estimated Annual Spend (VAT included) / Online Set Up – Standard Super User
VAT Exempt *
(If Yes, please provide Certificate) / Yes No X / Email
Company VAT Number * / First Name and Surname*
Is the Sold-to & Bill-to as above? / Yes X / Cost Centre:
No (attach sold-to form) / Default Sold-To
Billing Details*
Please ensure that the Customer’s Accounts Payable department can process consolidated billing.
Consolidated bills must be paid and not held up for any queries. Credits will show on following months billing / Single Billing (One bill per delivery):
Day End Consolidated:
Weekly Consolidated:
Month End Consolidated:
Customer Consolidated Billing Schedule[1]:
Payment Terms:30 days from invoice date
Alternatively, do you wish to order via purchase card?
Credit Card Facility? / Yes No
The default option for invoicing is Ebilling. Please provide an email address for the person or department responsible with payment of invoices:
Please paste this link into your browser for a system demo:
In case you do not wish to use our Ebilling system please state the main reason below:

Any invoice discrepancies, including request for proof of delivery, must be advised in writing by the Customer to the Seller within 14 days from the date of invoice.
Any Customer choosing Consolidated invoicing should be aware that the invoice must always be paid in full within 30 days from invoice date.
All other terms and conditions are displayed in our Office Depot Catalogue.

*Please attach Company Letterhead.

Client Signature* Name in Capitals*
(Mr/Mrs/Ms)
*Mandatory fields to be completed.
Sales Associate Field
Link to Base Price List / P5 / Discount(60%) / Niceday / Proprietary / Spicers
SFDC ID*
Account Manager Name* / Simon Toombs / HR No* / 1027
Customer Service Executive/ Team / N/A / HR No / N/A
New Business Development Manager / N/A / HR No / N/A
Telesales Contact / N/A / HR No / N/A
I hereby confirm the above information is correct: (Please sign below)
Implementation Manager Signature
Contact Number* / Date*

*Mandatory fields to be completed.

Note: The preferred method of payments for the In Kind framework is via purchase card / credit card. A card can be logged against your account, or you can enter the details online when you place your orders.

This document is only controlled when viewed on the portal. If retaining copies care should be taken to ensure it is the current version.

BMS F DMS 10.21 200513 V6

[1]Please supply relevant billing dates if required.If Alternative Billing Dates are required please fill out an additional Calendar Form.