By entering my name and signature, I declare that I have read and understood the above information. I declare the information provided is true and correct in every particular and that I undertake to inform {{supplier_trading_name}} of any changes within two business days of being provided the correct information. In the case that any of the above information is found to be false, untrue, misleading, or deceiving I am aware that I or my Director/s, Partner/s, and/or Proprietor/s may be held legally liable.