Acceptance/POD – Pre-Empt

Step 1 of 3

Document Number

COMPANY NAME(Required)

REG No(Required)

VAT NUMBER(Required)

Quote Reference(Required)

ORDER NUMBER(Required)

I HEREBY CONFIRM THAT I HAVE INSPECTED THE COMPLETED WORK RELATING TO:(Required)

Acceptance of work/Delivery Note

CLIENT DETAILS OF REPRESENTATIVE

I HEREBY CONFIRM THAT I HAVE INSPECTED THE COMPLETED WORK, TOGETHER WITH PRE-EMPT CC(Required)

I ACCEPT

EMPLOYEE NAME(Required)

Name Surname

ID NUMBER(Required)

DESIGNATION WITHIN COMPANY(Required)

CELL NUMBER(Required)

EMAIL(Required)

ACCOUNTS' CONTACT NUMBER(Required)

ACCOUNTS' CONTACT EMAIL(Required)

COMMENTS

Signature(Required)

I AM SATISFIED THAT WE HAVE MET THE SPECIFIED REQUIREMENTS RELATING TO THE QUALITY OF MATERIALS AND WORKMANSHIP AS QUOTED, AND HAVE MET AND COMPLIED WITH SITE REGULATIONS STANDARDS AND REQUIREMENTS PERTAINING TO THE JOB DONE - PAYMENT IS DUE TO PRE-EMPT CC PER THE TERMS AGREED UPON.

DETAILS OF PRE-EMPT REPRESENTATIVE

PRE-EMPT REP(Required)

Signature(Required)