Trade Account Application Form

Company name*:

Trading As (if applicable):

Your business website (if you have one):

Your business address*:

Business Telephone number*:

If you have any special requests for non-standard delivery hours, including any shop closure days, please specify below:

Business type:
Limited CompanySole TraderPartnershipOther

Company registration Number:

VAT number (if applicable):

Main contact's name*:

Main contact's email address*:

Main contact's telephone number*:

Main contact's Position in Business*:

Billing contact's name (if different to Main contact):

Billing contact's email address (if different to Main contact):

Billing contact's telephone number (if different to Main contact):

I accept that special requests for deliveries outside Monday-Friday 09:00-17:00 may be charged extra.

I accept that Taipec may make a search with a credit reference agency, which will keep a record of that search and may share that information with other businesses. We may also make inquiries about the principal directors using a credit reference agency

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