Loading...

Trade Application

Fill out the form below and become a valued customer
Home / Trade Application

Full Trading Name

Full Trading Address

Town

Postcode

Telephone Number

Fax Number

Email Address

Website

 

 

Name

Address

Postcode

Contact Number

Date Incorporated

Number of Employees

VAT Number

Company Number

Sales Rep

Current Turnover

 

Type of Business (please select from below)

 

Service and repairDistributionRetail / B2BWholesaleOnline

 

 

Social Media Platform
Facebook

Social Media ID

Twitter

Instagram

Linkedin

Google+

 

 

Purchaser Name

Purchaser Contact Number

Purchaser Mobile Number

Purchaser Email Address

 

 

Accountant Name

Accountant Contact Number

Accountant Mobile Number

Accountant Email Address

 

Please provide two references

Reference One Name

Address

Contact Number

Email Address

 

Reference Two Name

Address

Contact Number

Email Address

 

Please attach your company registration certificate, VAT certificate and company letterhead. PDF | JPG format only, 5MB file size limit:

 

 

Declaration by applicant:

I/We understand that the information above will be used by Genuine Solutions for evaluation purposes and that all the details provided are accurate. I/We also understand that all information supplied will be treated as confidential. I/We hereby agree that all transactions are conducted in accordance with the terms and conditions of Genuine Solutions.

 

Sign

Date

I have read and agree to the terms set out in the Genuine Solutions Ltd terms and conditions.