Suppliers form – Mid-West Services UK Ltd

GENERAL COMPANY INFORMATION

Company trading name:

Office Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Telephone:

Fax:

Email:

Name of person/department enquiries to be sent to

Certificate no:

VAT No.

DUNS no:

Private/public company ?

Year incorporated:

Company registration number:

Approximate turnover(£):

Do you have a parent Company?

Do you belong to another Trade Association? If so, which one?

State total number of employees

No. of Directors:

No. of office staff:

No. of managers:

No. of staff:

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REFERENCES

Bank

Name

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Sort Code:

Account No.

Two Trade References:

1 Company Trading Name:

2 Company Trading Name:

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Please supply details of at least three previous completed projects. Details to include, where applicable; name and location of the project; type of product; client or employer, commencement date and value or project, contract period and brief description of contract type. (Please continue on an additional page if required).

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