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Davies Products Trade Account Application

Title:
*Name:	A value is required.
*Company name:	A value is required.
Company Registration No. (if Limited):
V.A.T. Number:
*Building number/name:	A value is required.
*Address 1:	A value is required.
*Address 2:	A value is required.
*Town/City:	A value is required.
*County/State:	A value is required.
*Post Code:	A value is required.
*Country:	A value is required.
*Telephone:	A value is required.
Fax:
*Email:	A value is required.Invalid format.
Buyer Name:

Delivery Address - if different from above

Building number/name:
Address 1:
Address 2:
Town/City:
County/State:
Post Code:
Country:

Account Status

	Limited Company		Partnership
	Sole Trader		Wholesale
	Retail Fancy Dress & Party		Retail Department Store
	Retail Online		Retail General
	Retail Garden Centre

Trade references - 2 required please

Trade reference 1:
*Company Name:	A value is required.
Address 1:
Address 2:
Town/City:
Post Code:
Trade reference 2:
*Company Name:	A value is required.
Address 1:
Address 2:
Town/City:
Post Code:

*I agree to terms :	Required
View Terms

Customer Care

0151 922 4246