Please complete all sections in BLOCK CAPITALS and return to the Sales Department Please note ALL pages of this form must be returned regardless of whether they are completed or not. Section 1: your Business Name of Business: Invoice Address: Postcode*: Store Tel: Store Fax: Email Address: Statement Email: (if different) VAT Registered? Y/N VAT No. (if applicable): Company Registration SAN No: (if applicable) No. (if applicable) Full Name: Applicant’s Contact Tel: Fax: Details Contact Name: Telephone / email Position: Additional Contact Names: Contact Name: Telephone / email Position: Delivery Address (if different to invoice address): Tel: Fax: Email Address: Shop Opening Times Special Delivery Instructions Age of Business: Years Months Is your business a retail outlet Trading Nature: Yes: No: open to the general public? Nature of your Bookshop: Internet Own Website: – Other:________________ business: Educational Supplier: Internet Marketplaces: –
Please complete all sections in BLOCK CAPITALS and return to the Sales Department Please note ALL pages of this form must be returned regardless of whether they are completed or not. Section 1: your Business Name of Business: Invoice Address: Postcode*: Store Tel: Store Fax: Email Address: Statement Email: (if different) VAT Registered? Y/N VAT No. (if applicable): Company Registration No. (if applicable) SAN No: (if applicable) Applicant’s Contact Details Full Name: Tel: Fax: Additional Contact Names: Contact Name: Telephone / email Position: Contact Name: Telephone / email Position: Delivery Address (if different to invoice address): Tel: Fax: Email Address: Shop Opening Times Special Delivery Instructions Age of Business: Years Months Trading Nature: Is your business a retail outlet open to the general public? Yes: No: Nature of your business: Bookshop: Educational Supplier: Internet – Own Website: Internet – Marketplaces: Other:________________
BertramsCreditApplicationForm.docx