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WANT TO BECOME A PARTNER ?

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Please complete all sections

1. Company Name
2. Trading address
 
 
(City/Town)
(Post Code)
(County)
(Country)
(Phone)
(Fax)
(Email)
3. Registered name
(if different than TRADING NAME)
4. Registered address
(if different than ABOVE)
 
 
(City/Town)
(Post Code)
(County)
(Country)
(Phone)
(Fax)
(Email)
5. INVOICING ADDRESS at  TRADING ADDRESS
 REGISTERED ADDRESS
6. Type of organization
 Sole PROPRIETOR
 Partnership
 Limited Company (Ltd)
 PLC
7. Country of registration
8. Company registration number
9. VAT registration number
10. Directors (Name, initials, Surname)
 
 
 
 
 
 
TRADE REFERENCE
FIRST TRADE REFERENCE
11. Company name
12. Contact name
13. Phone
14. Fax
SECOND TRADE REFERENCE
15. Company name
16. Contact name
17. Phone
18. Fax

For and on behaf on
Place
Signed by (name and position)

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