Skip to content

National Glass - Customer Fact Sheet

1.Registered Name of Business(Required.)
2.Business Registration Number:(Required.)
3.Trading Name:(Required.)
4.VAT Number:
5.Years trading in the industry:(Required.)
6.Type of Business:(Required.)
Select one of the following customer categories with an X: (We are B2B and only deal with customers who derive their income mainly from Glass and Aluminium products)
7.Category:(Required.)
8.Memberships No:
9.Physical address of business:(Required.)
10.How did you hear about us?(Required.)
11.Fact sheet received from?(Required.)
12.If answer to above is "Sales Executive", please select their name:(Required.)
13.Delivery Address: (Specify on order)(Required.)
Contact Details:
14.Owner of business:(Required.)
15.Accounts Department:(Required.)
16.Buyer:(Required.)
17.Notifications:(Required.)
Banking Details:
18.Banking Details:(Required.)
19.Payment Method: (Regrettably no cheques accepted) (Required.)
General Info:
20.What products do you buy:(Required.)
21.Popular Product Purchases:(Required.)
22.Orders placed via:(Required.)
23.Order numbers used:(Required.)
24.Who is authorized to purchase:(Required.)
25.Only delivery notes on delivery:(Required.)
26.SMS notification on order confirmation:(Required.)
27.SMS notification on delivery:(Required.)
28.Last 3 projects completed references:(Required.)
By completing this you give National Glass your consent/permission to create your customer account on the National Glass Online Portal in order to view your profile and access, Invoices | Signed POD's | Track Orders | View Specials | View Price Lists and more.
29.Form Completed By:(Required.)