New Global Client Account Application Form

"*" indicates required fields

Step 1 of 4

Clarity Contact*

Clarity Branch*

Company Details

Company Name*

Company Phone*

Company Registration Number*

VAT Number*

Year of Incorporation*

Please select Business Sector*

Other Business Sector

Key Contact Name*

Key Contact Position*

Key Contact Phone*

Key Contact Email*

Trading Name*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Ultimate Parent Company*

Reg Number Of Parent Company*

Hidden

Consolidated Invoicing*

Clarity offer a Consolidated Invoicing Service subject to certain conditions Please indicate whether you would be interested in this service If so, one of our representatives will make contact with you.

Yes

Contact Information

Statement Contact Name*

Statement Email*

For Invoice and payment related queries please supply contact details

Queries Contact Name*

Queries Contact Email*

Queries Phone*

Banking Details

Payment Method*

Bank Name*

Bank Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Bank Phone*

Bank Account Number*

Bank Sort Code

Estimated Annual Travel Expenditure*

Required Monthly Credit Amount*

Payment Choice*

1) Pay Clarity Monthly: Cleared funds received by 15th of the month for all of your previous months invoices. i.e. all July dated invoices due as cleared funds 15th August.

2) Pay Clarity fortnightly: Invoices dated between 1st - 14th are due as cleared funds before the last working day of the same month. Invoices dated 15th - 31st are due as cleared funds by 15th on the month following.

Consent

I agree to the privacy policy.

Submitter Details

Name*

Position Within Company*

Date

Name

This field is for validation purposes and should be left unchanged.

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