Creditor account form

Data protection

We will store the information you provide in this form to allow us to respond to the issue you have raised, or provide the requested service. For more information see our data protection page. Data protection and freedom of information

- Business Name and Supplier Information
- Taxation Details
- Payment Details
- Authorisation
Business Name and Supplier Information
1. Amendment to Existing Account?*
  
  Yes
  
  No
2. What would you like to amend?
  
  Contact details only
  
  Other details changes
3. Are you a...*
  
  Business
  
  Refund or Grant payee (to be used only if advised by a council employee)
4. Supplier Account Number
5. Supplier Name*
6. Business Trading Name (if different from above)
7. Address
  1. Address line 1*
  2. Address line 2
  3. Street
  4. Locality
  5. Town*
  6. County
  7. Postcode*
8. Contact name*
9. Telephone*
10. Email address for purchase orders
11. Email address for remittances
12. Use a different address for invoicing?
  
  Yes
  
  No

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Creditor account form

Data protection