Trade Application

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Full Trading Name

Full Trading Address



Telephone Number

Fax Number

Email Address







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:


£ (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


Contact Number

Email Address


Reference Two Name


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.




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

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