- New Account Application Form

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Open Farm Sunday 2019 June 11, 2019

Duffields were very pleased to support Open Farm Sunday this Year Participating farms across the country open up their farms to the general public, for a day,to learn more about […]

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Become a local feed stockist

NAME OF APPLICANT (PERSON RESPONSIBLE FOR PAYING INVOICES)*
Prefix First Last
TRADING NAME*
ADDRESS*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
PHYSICAL ADDRESS (IF DIFFERENT FROM ABOVE)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
PLEASE TICK APPROPRIATE*
- LTD COMPANY
- NON-LTD COMPANY
- INDIVIDUAL
- PARTNERSHIP
COMPANY NUMBER (ONLY IF LIMITED COMPANY)*
NAMES & ADDRESSES OF ALL PARTNERS (ONLY IF PARTNERSHIP)
First Last
ADDRESSES OF ALL PARTNERS (ONLY IF PARTNERSHIP)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
NAMES & ADDRESSES OF ALL PARTNERS (ONLY IF PARTNERSHIP)
First Last
ADDRESSES OF ALL PARTNERS (ONLY IF PARTNERSHIP)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
NAMES & ADDRESSES OF ALL PARTNERS (ONLY IF PARTNERSHIP)
First Last
ADDRESSES OF ALL PARTNERS (ONLY IF PARTNERSHIP)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
DELIVERY CONTACT*
DELIVERY TEL. NUMBER*
DELIVERY E-MAIL ADDRESS*
ACCOUNTS CONTACT*
ACCOUNTS TELEPHONE NUMBER*
ACCOUNTS E-MAIL ADDRESS*
DELIVERY ADDRESS (1)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
DELIVERY ADDRESS (2)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
VET NAME*
VET PHONE NUMBER*
FAX
PAYMENT TERMS
- 7 DAYS
- 14 DAYS
- 21ST OF MTH FOL. DEL.
- UPFRONT ONLY
PAYMENT METHOD*
- DIRECT DEBIT
- CARD/CASH
- BACS
- CHEQUE
BANKERS NAME AND BRANCH*
TRADE REFERENCES*
HOW DID YOU HEAR ABOUT US?*
GUARANTOR FULL NAME
First Last
GUARANTOR ADDRESS
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
GUARANTOR CONTACT NUMBER
AMOUNT OF CREDIT REQUESTED
MONTHLY - MAXIMUM £
AVERAGE £
Type of stock kept?
Type of product ordered?
Average monthly required tonnage?
ACREAGE*
- OWNED
- RENTED
Are you willing to accept electronic invoices?*
- Yes
- No
Are you willing to accept marketing communications?*
- Yes
- No
Any overhead cables or height restrictions?*
Any restriction on lorry size?*
Is there a fork lift on site?*
Delivery time restrictions?*
AREA MANAGER*
OFFICE USE
Account No
Credit Limit
*
Please agree to the following Terms & Conditions
- I have read and agreed to the Terms and Conditions