BOB ELLIOT ONLINE - B2B REGISTRATION

Your Companies Address
Your Companies PostCode
Your Companies Phone Number
Company Established (Year)
Your Companies VAT Reg. Number (complete if VAT registered)
Companies web address (optional)
Closed Day (optional)
Credit Limit Required? (enter 0 if not required)

Ltd Company / Companies House:

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Registered Office Address (optional)
Your Companies Reg. Number (optional)
Names of directors (optional)

Primary Contact:

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Primary Contact Name (if different from B2B username above)
Primary Contacts Email Address (if different from B2B email above)

Owner / Personal Information:

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Owner Name
Owner Address
Owner Phone Number
Owner Mobile Number

Separate Delivery Address?

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Building Name / Number
Street Name
Town / City
PostCode

Social Media:

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X @Handle (formely Twitter) (optional)
Instagram handle/address (optional)
Facebook handle/address (optional)

Trade References:

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1^st Trade Reference (Name)
2^nd Trade Reference (Name) (optional)

Legal Declaration:

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PRINT NAME
DATE
YOUR POSITION

I confirm that all the above information is correct & that I have read and agreed the terms and conditions.