Company Information Form

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Offline PDF Form

SOLE TRADERPARTNERSHIPCOMPANYTRUSTGOVT

Choose your Matrix Representative, This notifys your Matrix Representative once you have submitted the form.
If you are not sure who your rep is, Select Sales.




Accounts Department Details - If this is the same as above, Please Leave Blank.

Is the Postal Address the same as the Trading Address?
YesNo




What's the best way to contact the accounts team?
If this is the same as above, Leave it blank.
EmailMailLandlineMobile






Who is Authorised to make purchases on your behalf?
No one else1 Person2 People3 People4 People5 People

Acknowledgment
I hereby confirm that the above information is true and correct and I acknowledge that any purchases made are subject to JHTA’s Trading Terms & Conditions and JHTA’s Warranty Statement.

Signature: