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.

    2. Owner/Directors

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

    Are you a: (required)

    Name and residential address of all principals/directors

    (This information is mandatory for all sole traders, partners and Directors of Limited Companies that have not filed at least one years statutory accounts with Companies House. Private residential addresses are required - not service addresses).

    Person 1

    Name:

    Address:

    Post Code:

    Date of birth:

    Person 2

    Name:

    Address:

    Post Code:

    Date of birth

    Person 3

    Name:

    Address:

    Post Code:

    Date of birth

    Person 4

    Name:

    Address:

    Post Code:

    Date of birth

    If less than three years at current address please provide previous address details

    3. Company & Registration

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

    Company Registration Number

    Incorporation Date:

    Parent Company Name (if applicable Number):

    4. Bank Details

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

    Bank Name: (required)

    Sort Code: (required)

    Account No: (required)

    5. 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)

    6. Confirmation

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

    I would like to receive relevant information and special offers for my business via:

    Please select your billing preference (required):

    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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