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New supplier request

Company information

Supplier Registered Company Name

Supplier Registered Address

Postal Code

Main Telephone Switchboard Number

Trading Currency

Parent Company (if applicable)

Sister Company - another company owned by your Parent company (if applicable)

Emergency Out Of Hours Contact Telephone Number

Website

If your company has changed name in the last 3 years please provide previous Registered name

Tell us why you care about delivering quality food to seafarers

Supplier Contact - name, e-mail, phone

For Contracts/Negotiations

For Enquiries/Purchase Orders

For Accounts/Invoice Queries

Other

Ports

Primary Ports Supported (Primary ports are those which you service, from your own premises in a delivery time of <4 hrs.)

Secondary Ports Supported (Secondary ports are those which you service from your own premises that take >4 hours to deliver to.)

Ports unable to deliver to

Bank information

Bank Address

Bank Account/Beneficiary Name

Bank Account Number

Bank postal code

Bank Country

Sort Code

IBAN

BIC/SWIFT

BACS Ref

Bank VAT Number

Account Type

Account Opened

Additional information

Are you affiliated with, linked to, by ownership in full or part, any other Chandlers?:

Yes
No
 

Are you affiliated with any other Marine Caterers?:

Yes
No
 

Are any company shareholders or senior managers affiliated with any other chandlers (shares, ownership, positions on board etc)?:

Yes
No
 

Is your company, or its employees related in any way to a government official?:

Yes
No
 

Is any of your business operations with your government (or foreign governments)?:

Yes
No
 

If yes, specify

I.S.S.A. Member:

Yes
No
 

I.S.S.A. Quality Accredited:

Yes
No
 

Current & Valid ISO 22000 Certified?:

Yes
No
 

Current & Valid ISO 14001 Certified?:

Yes
No
 

Current & Valid ISO 9001 Certified?:

Yes
No
 

Locally caught, non-endangered fish and seafood avaliable?:

Yes
No
 

Free-range eggs/poultry available?:

Yes
No