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Hospitality Provisions

148 E Street Rd, Suite 143, Feasterville-Trevose, PA 19053

Email: cs@hospitalityprovisions.com | www.HospitalityProvisions.com

BILLING INFORMATION

Business/Legal Name *

Contact Person *

Email Address *

DBA

Phone Number *

VAT Number

Street Address *

City *

County/State *

Street Address Line 2

Postcode/ZIP *

Country *

INVOICE/ACCOUNT CONTACT DETAILS

Name *

Email Address *

Position

Company Registration Number/EIN Number

EORI Number

SHIPPING INFORMATION

Same as Billing Information

Business Name

Contact Person

Email Address

DBA

Phone Number

VAT Number

Street Address

City

County/State

Street Address Line 2

Postcode/ZIP

Country

DELIVERY INFORMATION

Select Delivery Service:

3rd Party Delivery Service
(UPS, FedEx or Truck for pallet shipments) (charged to invoice)

Customer arranged collection from Hospitality Provisions Warehouse

Customer Courier of choice

If choosing custom courier, please provide the following details:

By providing Hospitality Provisions with your courier account number, you give authorisation for them to book deliveries for all purchase orders on your account unless specified otherwise in writing.

Courier of choice

Customer Courier Account Number

Please tick if you require delivery to be booked into your property or warehouse

Please provide any further details:

Please tick if you are able to accept palletised shipments?

PLEASE NOTE, USA RETAILERS MUST PROVIDE RESALE CERTIFICATE VIA EMAIL TO CS@HOSPITALITYPROVISIONS.COM

By digitally signing below you are agreeing to the Hospitality Provisions Terms & Conditions for the Sale & Supply of Goods & Services.

Name *

Signature *

Date *

Contact Us

Phone: +1 (908) 271-8707

Email: CS@hospitalityprovisions.com

2300 E. Lincoln Hwy
Showroom 218
Langhorne, PA 19047

CUSTOMER FORM

BILLING INFORMATION

INVOICE/ACCOUNT CONTACT DETAILS

SHIPPING INFORMATION

DELIVERY INFORMATION

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