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Enquiry Form
Trade Account Application
Please complete and submit the form below to apply for a Trade Account
Full Trading Name*
Address*
Postcode*
Company Registration No.*
Buying Contact
E-mail
Telephone
Mobile
Fax
If this is not a limited company, please enter Proprietor/Partner details below.
Proprietor/Partner 1
Home Address
Proprietor/Partner 2
Home Address
Nature of Business*
Projected Monthly Spend*
Address*
Contact Name*
Fax
E-mail
We can send invoices and monthly statements by post, fax or e-mail. Please select your preferred method below.
Invoices*
Post
Fax
E-mail
Statements
Post
Fax
E-mail
We normally send one invoice per delivery but this can be varied if you require.
Please indicate which of the following you would prefer (please tick one only):
1 invoice per delivery
1 invoice per order
1 invoice per week
1 invoice per month
Reference 1
Telephone
Reference 2.
Telephone
PLEASE ATTACH A SAMPLE OF YOUR LETTERHEAD*
(valid extension(s): .jpg, .pdf, .bmp, .doc, .docx)
In making the application, the partners/directors/owners consent to credit status checks being carried out by L H Evans and/or their agents as part of that application, and that searches against the individual directors and partners will be carried out for that purpose. Details of these searches may be recorded and shared for credit purposes.
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