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:

    Service and repairDistributionRetail / B2BWholesaleOnlineOther

    Other, please state:


    Currency:

    £ (GBP)€ (EUR)$ (USD)

     

    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:

     

     

    Marketing consent:

    We’d love to send you exclusive offers and the latest information from Genuine Solutions by email, post, SMS, phone and other electronic means. We’ll always treat your personal details with the upmost care and will never share, or sell them to other companies for marketing purposes.

     

    Please confirm you marketing preferences by selecting one of the options below.

     

    Yes please, I’d like to hear about your offers and latest information
    No thanks, I don’t want to hear about your offers or latest information.

     

    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.

    Do NOT follow this link or you will be banned from the site!