Enrol as a Customer
Personal Details (1/3)
Person Name
*
First Name
Last Name
Phone Number
*
-
Area Code example 0044
Phone Number
Email
*
example@example.com
Back
Next
Save
Enrol as a Customer
Company Details (2/3)
Company Name
*
Company Address
*
Street Address
Street Address Line 2
City
Region
Postcode
VAT Registered?
*
Yes
No
VAT Number?
*
Upload Proof of Business Address
*
Browse Files
Drag and drop files here
Choose a file
1 copy of: UTILITY BILL, COUNCIL TAX, BANK STATEMENT, COMPANIES HOUSE LETTER or HMRC LETTER
Cancel
of
Legal Business Type
*
Please Select
Limited
Partnership
Sole Trader
Years Established
*
Business Category
*
Business Category (other) Please State
*
How Many Owners in the business?
*
Back
Next
Save
Enrol as a Customer
Additional Details (3/3)
Is Correspondence Address Same as Company Address?
*
Please Select
Yes
No
Correspondence Address
*
Street Address
Street Address Line 2
City
Region
Postcode
Are you Linked to any other Company that is a member of Lioncroft Wholesale?
*
Please Select
Yes
No
Details of Other Company
*
Please provide Name, Address & Membership Number (if known)
How much do you expect to spend?
*
Per Month (£)
How many times do you expect to visit?
*
Per Month (days)
Will Someone else be shopping at Lioncroft Wholesale for your Company on your behalf?
*
Please Select
Yes
No
Details of Additional Person(s)
*
Please Provide Full Name
Marketing Opt In (Tick all that you would like):
Whatsapp
Email
Postal
Please verify that you are human
*
Save
Submit
Should be Empty: