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Account Application
 
Note: Please fill in required fields (highlighted).
 
Payment Terms
Credit Limit (if approved)
Note: For Credit Accounts, unless previously agreed, we require a COD or cleared funds with your first two orders, after which our normal 30-day terms will apply.

 
Company Details
 
Company
Trading As
Unit
Street
Suburb
Town
County
Postcode
Country
Telephone
Note: Landline Business Numbers please. Mobiles, and Premium Rate numbers (09xx) are not acceptable.
Fax
Website
Business Type
VAT Number
Company Registration Number
Note: This is required for Limited Companies and PLCs.
Trading Commenced (Year)
 
Trade Reference #1
Account Code for Above
Trade Reference #2
Account Code for Above
 
Current Monthly IT Spend
Annual Turnover
Main Line of Business
 
How many Employees work in your Company?
How did you hear about Bluepoint?
 
Are your premises a Retail Outlet?Yes   No

 
Contact Information
 
Who will place your Orders/Main Contact?
Postion in Company
Email of Order Contact
Who will pay our Invoices?
Note: Required if this Person is different from Above.
Postion in Company
Email of Invoice Contact
 
Why not take advantage of our Online Ordering, RMA and access to View Prices ? enter your USERNAME here and we can setup an Online Account after your first order.
Online Username
Prefered Sales Person
If you already have been speaking to a Sales Person and wish to maintain this contact, feel free to specify their name.

 
Details of Directors, Proprietor, or Partners (for Sole Proprietorship and Partnerships only)
 
Name #1
Street
Suburb
Town
County
Postcode
Country
 
Name #2
Street
Suburb
Town
County
Postcode
Country

Additional Comments

I have received, read and understood the Terms and Conditions of Sale, of Bluepoint Corporation Ltd (Bluepoint). By my signing below, I have accepted to trade wtih Bluepoint under the terms specified. These terms and conditions do not affect my statutory rights. I am an authorised signatory of the company, and am authorised to enter into contractual obligations on its behalf.
 
Name
Position
Date
 
Code
 (Enter Verification Code as Shown)'
 
 
AGREEMENT TO CONTRACT ELECTRONICALLY
You hereby agree to contract electronically with Bluepoint. You agree that this electronic acceptance of our terms, combined with your act of using the services and/or purchasing the products offered on this Web Site or clicking on 'I Agree,' have the same legal force and effect as a written contract with your written signature and satisfy any laws that require a writing or signature. You further agree that you shall not challenge the validity, enforceability, or admissibility of the Terms and Conditions on the grounds that it was electronically transmitted or authorised. In addition, you acknowledge that you have had the opportunity to read and print this agreement.
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