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Personal Details (1/3)
Name
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First Name
Last Name
Phone Number
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Email
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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
*
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1 copy of: UTILITY BILL, COUNCIL TAX, BANK STATEMENT, COMPANIES HOUSE LETTER or HMRC LETTER
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Legal Business Type
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Limited
Partnership
Sole Trader
Years Established
*
Business Category
*
Business Category (other) Please State
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How Many Owners in the business?
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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
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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
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