Newcastle University

Start : New customer

1. School/Centre

Enter the name of your School or Centre

Your sales division

2. Customer Details

Name:

Address:

City:

Postcode:

Country:

Telephone No.:

Fax/Email:

3. Contract details

Value Contract end date

4. Companies House registration Number

Company Number:

5. Credit check requested by

Name: Name required

Telephone:

Fax Number:

E-Mail address: Email required

6. On behalf of:

Name: Telephone: Fax Number:
E-Mail address:

7. Submit:

Send for processing:

Newcastle University, NE1 7RU, United Kingdom, Telephone: (0191) 208 6000
From outside the UK dial +44 191 208 6000