Kiwi Plants Limited
Kiwi Plants Limited International Order Form
All questions marked with a * are mandatory
Part A - Contact Details
Full Name: *
Address (Number):
Address (Street) *
City: *
State:
Country: *
Email Address: *
Tel No:
Fax No:
Part B: Business Details Only
1. Please provide the name of your business and any parent or subsidiary
2. Please provide the address of your business including post code.
Registered Office
Ordering Address (if different)
Payment Address (if different)
3. Please provide your telephone, fax number, email and web site address:
Tel No:
Fax No:
Email:
Website URL
4. Location of other operational sites, their functions and approximate number of employees:
5. Please state the nature of your business and your main products / services
Business Nature
Main Products/Services
6. Please provide your company registration number, years in business and VAT number:
Company Reg:
Years in Bus:
Tax No:
7. What is the legal status of your business?
Public Limited Company
Partnership
Sole Trader
Private Company
Not for profit organisation
Government Agency
Incorporated Society
Trading Trust
Family Trust
Self Employed
Ordering Goods And Services
8. Please provide a brief description of the goods or services you wish Kiwi Plants Ltd to supply.
Good or Services Required
Part C: Our Bank Details
9. Please pay directly into our bank. Details and bank account number are shown below. If you are unable to make payment by this method secure payment may be made by credit card using a person to person telephone conversation.
Bank Of New Zealand (BNZ) Account no: 020544-0238228-00
10. Payment Details.
Please pay all international orders in advance. Refer to our Terms and Conditions for more detail.
11 Business payment terms are 30 days. Please specify any variation and early payment discount
12. Declaration (to be selected)
I confirm that all the information given is accurate and that I agree to
Kiwi Plants Ltd's terms.
*
Yes
No
Name: *
Position:
Date: *
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