Trade Account Form

Company Name & Trading Name (if applicable)(required)

Company Type (required)

Please select from dropdown menu

Parent Company (if applicable)

Address (required)

Registered Office if a Limited Company

Country

Address Line 1 (required)

Address Line 2

City / Town (required)

Postcode (required)

Billing/Delivery Addresses

Billing Address

(if different to Registered Office)

Country

Address Line 1 (required)

Address Line 2

City / Town (required)

Postcode (required)

Delivery Address

Country

Address Line 1 (required)

Address Line 2

City / Town (required)

Postcode (required)

Phone Number - Office (required)

Website

Company Reg. Number (required)

VAT Number

EORI Number or Tax ID Number (required)

Preferred currency for invoicing (required)

Please select from dropdown menu

Contact Name (required)

First Name

Last Name

Phone Number - Mobile

Email Address (required)

Trade References: Please supply the names and contact details of other fabric and wallpaper suppliers with which you have existing trade accounts. (required)

1. Company Name, Contact Name, Contact Number

2. Company Name, Contact Name, Contact Number

3. Company Name, Contact Name, Contact Number

By submitting this application, I, the undersigned, certify that all the information on this application is accurate and true to the best of my knowledge. In addition, I, the undersigned acknowledge and agree with Divine Premier UK Ltd trade Term & Condition. Divine Premier UK Ltd reserves the right to reject this application or to terminate it at any time. Please note that this application does not grant any credit terms. Our company Terms and Conditions can be downloaded from our website.

(required)

Your details will only be used for the purpose of this application and any further discussions relating to working together.

Signed:

Trade Account Form

Warehouse Address

PHONE

Whatsapp