1. Company Details

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

    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: (required)

    2. Company & Registration

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

    Company Registration Number

    Incorporation Date:

    Parent Company Name (if applicable Number):

    3. Bank Details

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

    Bank Name: (required)

    Sort Code: (required)

    Account No: (required)

    4. Your Business

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

    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)

    Annual Turnover: (required)

    5. Confirmation

    Submission Date: (required)

    In submitting this application, I confirm that I have the authority and permission of all relevant parties re submission of same. I acknowledge and accept the Terms & Conditions of Business as detailed within this Website

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