New Customer Account Form

Complete this form to request a new customer account with Dowty Propellers

Dowty Propellers

4100 Hurricane Road Gloucester Business Park Brockworth GL3 4AQ UK

Company Legal (Corporate) Name*

Legal Address*

Bill to Address*

Ship to Address*

Web Address*

Original Company Name (If Applicable)

Date of Name Change (If Applicable)

Legal Structure/Form (Select all that apply)*

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Legal Structure Other - Details (If Applicable)

DUNS Number*

ICAO Code (Airlines Only)

VAT Reg No (EU Member States - Not UK)

All Names, Nationality & %Ownership of Company*

All Names, Nationality of Principle Officers*

Customer Operations (Select from Drop Down Menu)*

Select

Describe briefly the nature & history of company*

Preferred Invoice Delivery Method (Please Select)*

Select

Accounts Payable Contact Name*

Accounts Payable Phone Number*

Accounts Payable E-Mail Address*

Freight Agent & Account Number*

Please provide details of Company Buyer who will require access to the portal

Employee Name requiring access to portal*

Employee E-Mail address for portal access*

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