Direct Bank Transfer Payment Request

You

Contact email:

Contact number:

Your Company

Please note that company registration number is required

Company name:

Company registration number:

Logistics UK Member Number (if applicable):

Invoice Address

Address line 1:

Address line 2 (Optional):

City:

Postcode:

Country:

Shipping Address

These fields are optional and should only be completed if your main office address differs from your invoice address

Address line 1 (Optional):

Address line 2 (Optional):

City (Optional):

Postcode (Optional):

Country (Optional):