New Customer Account Form

Date Received *

MM

DD

YYYY

Name *

First Name

Last Name

Please agree to our terms *

I/We accept that all goods supplied to us will remain property of Wild Card Brewery Ltd until all amounts outstanding from us on any account have been paid in full.

Wild Card Brewery Ltd reserve the right to charge late payment fees and interest as per the current late payment legislation for very overdue accounts.

I/We also agree to comply with your settlement terms of 14 days / 30 days net from invoice date.

Name *

First Name

Last Name

Date *

MM

DD

YYYY