Registration Form
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Organisation name *
Organisation address *
Your name *
Email address *
Telephone number (please do not provide a generic/switchboard number - we will need a specific point of contact) *
Job title
Are you an authorised representative of your organisation? *
 What is the contract duration from trading date to contract expiry? (e.g. 4 years) *
What is the estimated annual contract value? *
Selection was completed via:
Clear selection
PLEASE NOTE: For each supplier you are/will be trading with, you must provide the supplier account number and date from which you start trading under the framework. The supplier account number for each account you want to be covered by the framework is the number given to you by the supplier that will be on their invoices.
Which supplier(s) are you trading with? (You can select one or more suppliers as required). *
Supplier 1 Account Number *
Supplier 1 - Trading start date *
MM
/
DD
/
YYYY
Supplier 2
Supplier 2
Supplier 2 - Account Number (if applicable)
Supplier 2 - Trading start date (if applicable)
MM
/
DD
/
YYYY
Supplier 3
Supplier 3
Supplier 3 - Account Number (if applicable)
Supplier 3 - Trading start date (if applicable)
MM
/
DD
/
YYYY
Supplier 4
Supplier 4
Supplier 4 - Account Number (if applicable)
Supplier 4 - Trading start date (if applicable)
MM
/
DD
/
YYYY
Supplier 5
Supplier 5
Supplier 5 - Account Number (if applicable)
Supplier 5 - Trading start date (if applicable)
MM
/
DD
/
YYYY
Please add any other comments or queries here                                                            
If you would like to register for more than 5 suppliers, please email queries@cirruspurchasing.co.uk and our team will respond.
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