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Full Company Name: (required)

Trading Title if applicable:

Full Trading Address: (required)

Post Code: (required)

Tel No: (required)

Mobile:

Fax No:

Email: (required)

For all Non-UK Companies to complete

Company VAT no.

Are you a:Sole TraderPartnershipPlc/Ltd coLLP (required)

***To be completed by Ltd & Public companies***

Company Registration Number

Incorporation Date:

Parent Company Name (if applicable Number):

***To be completed by ALL applicants***

Bank Name: (required)

Sort Code: (required)

Account No: (required)

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Business activity: (required)

Number of Years Trading: (required)

Anticipated Monthly Spend: (required) £ (numbers only)

Main purchasing contact

Name: (required)

Mobile No: (required)

Email: (required)

Main accounts contact

Name: (required)

Mobile No: (required)

Email: (required)

Number of employees: (required)
1-56-1011-1920-4950-99100+

Annual Turnover: (required)
£1-£19999£20000-£49999£50000-£99999£100000-£199999£200000-£499999£500000+

Submission Date: (required)

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