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Apply For A Supplier Account

Step 1 - Company Details

Title *

First Name *

Surname *

Company Name *

Company Registration Number *

Position *

Email Address *

Address Line 1 *

Address Line 2

Town *

County *

Postcode *

Telephone Number *

Mobile Number

Fax Number

Website Address *

Step 2 - Company History

EDI Compliant *

Yes

EDI Mailbox Provider

EDI Mailbox Number

BACS Payments *

Yes

Year Established *

Number of Employees *

Legal Cases *

Yes

Holding Company? *

Yes

Holding Company Name

Turnover of Holding Company

Step 3 - Company Structure

Primary Product Category *

Types of Product Sold *

Type Of Business *

Accreditations/Management Systems *

Delivery Areas *

Select all that apply.

England Wales Scotland NI EIRE Channel Islands Isle of Man Highland Scottish Islands Isles of Scilly

Sales Force Internal *

Sales Force External *

Market Size *

Market Share *

Company Turnover UK Annual *

Step 4 - Company Business

Independents *

Nationals

Retails

Distributors

Other

Trading Organisations *

Please tick any Trading organisation you are part of. If you are not part of a Trading Organisation please tick None.

None CBA FORTIS H&B LIMA NBG PHG IBC BMF KBBG IBA FEGIME AIEW AWEBB ANEW GAI BMA MICA MIDA THS TROY ANGLIA FARMERS MOLE VALLEY FARMERS EUROMAT

Top 10 Independent Business

Please provide us with a list of the top 10 independent merchants you currently trade with.

Top Independent Business 1

Top Independent Business 2

Top Independent Business 3

Top Independent Business 4

Top Independent Business 5

Top Independent Business 6

Top Independent Business 7

Top Independent Business 8

Top Independent Business 9

Top Independent Business 10

Top 5 Competitors

Please provide us with a list of your top 5 competitors.

Top Competitors 1

Top Competitors 2

Top Competitors 3

Top Competitors 4

Top Competitors 5

Step 5 - Submission

What is your online policy? *

Please confirm your reason for application