Staff Account Application

EMPLOYEE DELIVERY / INVOICE / CONTACT DETAILS

EMPLOYEE NAME

COMPANY NAME

EMPLOYEE ADDRESS:

TOWN

COUNTY

POSTCODE

EMPLOYEE EMAIL ADDRESS

EMPLOYEE MOBILE NUMBER

SPECIAL DELIVERY INSTRUCTIONS

DELIVERY CONTACT DETAILS

LANDLINE

MOBILE

PAYMENT BY DIRECT DEBIT - All Staff Accounts must be set up for Direct Debit

ORIGINATOR’S IDENTIFICATION NO. 680796

NAME(S) OF ACCOUNT HOLDER(S)

BRANCH SORT CODE:

BANK / BUILDING SOCIETY ACCOUNT NO:

Instructions to Bank / Building Society

Please pay Hallgarten Wines Limited Direct Debits from the account detailed in this Instructions subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Hallgarten Wines Limited and, if so, details will be passed electronically to my Bank / Building Society

*Banks and Buildings Societies may not accept Direct Debit instructions from some types of accounts

AUTHORISED BANK SIGNATORY

PRINT NAME:

The Direct Debit Guarantee

• The Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits Shceme. The efficiency and security of the Scheme is monitored and protected by your Bank or Building Society.

• If the amount to be paid or the payment dates change Hallgarten Wines Limited will notify you at least 10 working days in advance of your account being debited or as other wise agreed

• If an error is made by Hallgarten Wines Limited or your Bank or Building Society, you are guaranteed a full and immediate refund of the amount paid from your Bank or Building society.

• You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also send a copy of your letter to us

ONLINE ORDERING - All Staff Accounts must be set up for Online Ordering

EMAIL ADDRESS: (USER INSTRUCTIONS WILL BE SENT HERE)

A seamless, end-to-end ordering experience

Easy sign up process, get up and running quickly

Place orders at any time that is convenient to you 24 hrs / day

Easily switch between mobile, tablet and desktop to complete your orders

Available from the App Store and Google Play store for your mobile device or tablet

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