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<p>New to the Royal Docks? Please complete this form before making your first booking so we have your details on record.</p>


London’s Royal Docks New Customer Form

success_redirect_link: /thank-you-new-customer/

[hidden step_break_1 "Customer Details"]

[text* licenseeName autocomplete:licensee-name wrapperClass:col-xs-12-12 label:Licensee-Name class:fs-lg-p-b placeholder "New Customer Application Form - Licensee Name"] 

[text* companyName autocomplete:company-name wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Company-Name class:fs-lg-p-b placeholder "Company Name"] 

<h4>Trading Address</h4>

[text* streetAddress autocomplete:street-address wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Street-Address class:fs-lg-p-b placeholder "Street Address"] 

[text* addressLine2 autocomplete:address-line-2 wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Address-Line-2 class:fs-lg-p-b placeholder "Address Line 2"] 

[text city autocomplete:city wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:City class:fs-lg-p-b placeholder "City"]

[text postcode autocomplete:postcode wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Postal-Zip-Code class:fs-lg-p-b placeholder "Postal/Zip Code"]

<h4>Registered Office Address</h4>

[text* officStreetAddress autocomplete:office-street-address wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Street-Address class:fs-lg-p-b placeholder "Street Address"] 

[text* officeAddressLine2 autocomplete:office-address-line-2 wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Address-Line-2 class:fs-lg-p-b placeholder "Address Line 2"] 

[text officeCity autocomplete:office-city wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:City class:fs-lg-p-b placeholder "City"]

[text officePostcode autocomplete:office-postcode wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Postal-Zip-Code class:fs-lg-p-b placeholder "Postal/Zip Code"]

[select companyType wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 class:fs-lg-p-b label:Company-Type "Sole Trader" "Limited Company" "PLC" "Partnership" "Other"]

If other, please give details below

[text otherCompanyType autocomplete:other-company-type wrapperClass:col-xs-12-12 label:Other-Company-Type class:fs-lg-p-b]

[text* companyRegistrationNumber autocomplete:company-registration-number wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Company-Registration-Number class:fs-lg-p-b placeholder "Company Registration Number"]

[text directorName autocomplete:director-name wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Director-Name class:fs-lg-p-b placeholder "Director Name"]

[number numberOfYearsTrading wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Number-of-Years-Trading class:fs-lg-p-b placeholder "Number of Years Trading"]

[text natureOfBusiness wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Nature-of-Business class:fs-lg-p-b placeholder "Nature of Business"]

[text licenseeContactName wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Licensee-Contact-Name class:fs-lg-p-b placeholder "Licensee Contact Name (if different from above)"]

[text licenseeContactPosition wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Licensee-Contact-Position class:fs-lg-p-b placeholder "Licensee Contact Position"]

[tel* licenseeContactNumber autocomplete:tel wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Licensee-Contact-Number class:fs-lg-p-b placeholder "Licensee Contact Number"]

[email* licenseeEmail autocomplete:email wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Licensee-Email class:fs-lg-p-b placeholder "Licensee Email"]

[text invoiceStreetAddress autocomplete:street-address wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Invoice-Street-Address class:fs-lg-p-b placeholder "Street Address"]

[text invoiceAddressLine2 autocomplete:address-line-2 wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Invoice-Address-Line-2 class:fs-lg-p-b placeholder "Address Line 2"]

[text invoiceCity autocomplete:address-level2 wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Invoice-City class:fs-lg-p-b placeholder "City"]

[text invoicePostcode autocomplete:postal-code wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Invoice-Postal-Zip-Code class:fs-lg-p-b placeholder "Postal/Zip Code"]

[text invoiceContactFirstName autocomplete:given-name wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Invoice-Contact-First-Name class:fs-lg-p-b placeholder "First"]

[text invoiceContactLastName autocomplete:family-name wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Invoice-Contact-Last-Name class:fs-lg-p-b placeholder "Last"]

[tel invoiceContactNumber autocomplete:tel wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Invoice-Contact-Number class:fs-lg-p-b placeholder "Invoice Contact Number"]

[email invoiceContactEmail autocomplete:email wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Invoice-Contact-Email class:fs-lg-p-b placeholder "Invoice Contact Email"]

[hidden step_break_2 "Bank Details"]

[text* bankName wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Bank-Name class:fs-lg-p-b placeholder "Bank Name"]

[text* bankStreetAddress autocomplete:street-address wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Bank-Street-Address class:fs-lg-p-b placeholder "Street Address"]

[text bankAddressLine2 autocomplete:address-line-2 wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Bank-Address-Line-2 class:fs-lg-p-b placeholder "Address Line 2"]

[text bankCity autocomplete:address-level2 wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Bank-City class:fs-lg-p-b placeholder "City"]

[text bankPostcode autocomplete:postal-code wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Bank-Postal-Zip-Code class:fs-lg-p-b placeholder "Postal/Zip Code"]

[text* sortCode maxlength:6 wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Sort-Code class:fs-lg-p-b placeholder "Sort Code"]

[text* bankAccountNumber maxlength:8 wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Bank-Account-Number class:fs-lg-p-b placeholder "Bank Account Number"]

[text vatRegistrationNumber wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:VAT-Registration-Number class:fs-lg-p-b placeholder "VAT Registration Number"]

<h4>Payment Terms</h4>

RDW Payment Terms - To use RDW services or facilities payment is required in advance via credit/debit card or bank transfer.

If it has been agreed via RDW management that payment can be made on receipt of invoice, payment is required within 14 days from the date of invoice unless agreed separately by RDW management. RDW reserve the right to charge interest at 4% over base rate on late payments. RDW payment terms override yours or any other payment terms. By signing this document, you agree to adhere to the above payment terms and you personally represent and warrant that you have the business' authority to enter into legally binding contracts on its behalf.

<h3>Signature</h3>

[text* signatureFirstName autocomplete:given-name wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Signature-First-Name class:fs-lg-p-b placeholder "First Name"]

[text* signatureLastName autocomplete:family-name wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Signature-Last-Name class:fs-lg-p-b placeholder "Last Name"]

[date* signatureDate wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Signature-Date class:fs-lg-p-b placeholder "Date"]

[signature applicantSig]

<h4>Office Use Only</h4>

[text licenceNo wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Licence-No class:fs-lg-p-b placeholder "Licence No"]

[text creditLimit wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Credit-Limit class:fs-lg-p-b placeholder "Credit Limit"]

[text creditPeriod wrapperClass:col-xs-12-12 wrapperClass:col-md-6-12 label:Credit-Period class:fs-lg-p-b placeholder "Credit Period"]

[submit "Submit"]

From: [licenseeContactName] [licenseeEmail]
Subject: New Customer Application Form Submission

Licensee Details
Licensee Name : [licenseeName]
Company Name : [companyName]

Registered Address
Street Address : [streetAddress]
Address Line 2 : [addressLine2]
City : [city]
Postcode : [postcode]

Office Address
Street Address : [officStreetAddress]
Address Line 2 : [officeAddressLine2]
City : [officeCity]
Postcode : [officePostcode]

Company Type : [companyType]
Other Company Type : [otherCompanyType]
Company Registration Number : [companyRegistrationNumber]
Director Name : [directorName]
Number of Years Trading : [numberOfYearsTrading]
Nature of Business : [natureOfBusiness]

Licensee Contact
Contact Name : [licenseeContactName]
Contact Position : [licenseeContactPosition]
Contact Number : [licenseeContactNumber]
Contact Email : [licenseeEmail]

Invoice Details
Street Address : [invoiceStreetAddress]
Address Line 2 : [invoiceAddressLine2]
City : [invoiceCity]
Postcode : [invoicePostcode]
Contact First Name : [invoiceContactFirstName]
Contact Last Name : [invoiceContactLastName]
Contact Number : [invoiceContactNumber]
Contact Email : [invoiceContactEmail]

Bank Details
Bank Name : [bankName]
Street Address : [bankStreetAddress]
Address Line 2 : [bankAddressLine2]
City : [bankCity]
Postcode : [bankPostcode]
Sort Code : [sortCode]
Account Number : [bankAccountNumber]
VAT Registration Number : [vatRegistrationNumber]

Signature
Signed by : [signatureFirstName] [signatureLastName]
Date : [signatureDate]
Signature : [applicantSig]

Licence
Licence No : [licenceNo]
Credit Limit : [creditLimit]
Credit Period : [creditPeriod]

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