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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

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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

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