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Please print the form below, fill in the details and return completed as soon as possible Application for Registration and Re-registration Valued Added Tax Administration Date:................ Customer Reference Allocated:........................... Applicant Name: ............................................................................................ Home Address: ............................................................................................. ............................................................................................ ............................................................................................ Home Telephone: ............................................................................................ Email: ............................................................................................ Business Name: ............................................................................................ Business Address (If same as above please state "same") ............................................................................................ ............................................................................................ ........................................................................................... Business Telephone: STD code(...................).................................... Type of Business: ........................................................................................... V.A.T. Number: ........................................................................................... Guest Houses: (please state number of rooms) .......................................................................................... Name & Address of Bank: ........................................................................................... ........................................................................................... ........................................................................................... Sort Code: Account Number: ........................................................................................... ........................................................................................... Trade Reference: ........................................................................................... Contact Number: ........................................................................................... Signature: ........................................................................................... Please Print Name: ........................................................................................... Trade / Bank References will be used Eastern Green, Penzance, Cornwall. TR18 3AS Tel: 01736 366422 / Fax: 01736 368974 V.A.T. No. 131 8773 64 Email: enquiries@penwithian-wholesalers.co.uk Designed by SNA Software Systems / Hosted by SCRUFFY bEAR © 1999/2000