Supplier Account Application Form

Please complete as much of this form as possible as it helps us set up your account correctly on our system. If you have not heard back from us with 24 hours please feel free to contact us on 01384 226855.

Legal Company Name *

Registered Address *

Postcode *

Phone Number *

Website *

Company Registration *

VAT Number *

Your Name *

Your Email *

Accounts Contact Name *

Accounts Email *

Accreditation(s)

Eg. ISO9001:2015 etc.

Material Certification Available

Bank Name

Account Number

Sort Code

Payment Terms

Credit Limit

Authorised By *

Acceptance of Terms and Conditions *

By ticking the above box you (Legal company name stated above) accept the Integraflow Limited Terms and Conditions (available here and will be supplied to you on opening of account).

Document Upload

Please feel free to upload supporting documents eg. Accreditation certificates / insurance certificates etc.

Submit Application

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Supplier Account Application Form