TEST Trade Application

Business Information

Full Legal / Proprietor Name*

Trading Name (if different)

Company Type*
Sole Trader Ltd Partnership PLC Export

Company Reg. No.

VAT No.

EORI No.

Contact Information

Shop Tel No.*

Shop Email*

Years of Trading

Buyer Contact Name

Buyer Phone

Buyer Email

Accounts Contact Name

Accounts Phone

Accounts Email

Addresses

Invoice Address*

Invoice Postcode*

Delivery Address

Delivery Postcode

Trade References

Reference 1 Name

Reference 1 Address

Reference 1 Phone

Reference 1 Email

Reference 2 Name

Reference 2 Address

Reference 2 Phone

Reference 2 Email

Bank Details

Bank Name & Branch

Extra Info

Notes (e.g. delivery restrictions)

Upload Supporting Document (optional)

Declaration

Full Name*

Position*

Date*

I/We agree to the Terms and Conditions of trade and confirm the above details are correct.

{% if request.query_params.submitted == 'true' %}

Thank you! Your trade application has been received.

{% endif %}

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