Trade Specialists

Registered Company Name *

Company Type

Registration Number *

VAT Number *

Years business has been operating

Physical Address *

Code *

Postal Address *

Code *

Email Address *

Fax Number

Mobile Number

Decorators/Partners/Directors/Members/Buyers details

Business Focus

Commercial

Domestic

General comments

References

Company Name *

Contact Person *

Telephone Number *

Company Name *

Contact Person *

Telephone Number *

Banking Details

Account Holder *

Name of Bank *

Branch Code *

Account Number *

Account Type *

I, the undersigned.. *

I, the undersigned, hereby declare that the above information is correct and that I have full legal capacity for placing of orders and payment thereof and hereby bind myself jointly and severally as principal debtor for the payment of all sums due.

Accept Terms & Conditions *

Accept Terms & Conditions

Effective 1st of March 2014 there will be a period of one year, from the date of invoice, in which to claim back trade discount. Please ensure discounts are claimed within this period, failure to do so will result in the discount being automatically forfeited.

Please Note: if your annual spend is less than the minimum amount required to receive your corresponding commission, you will automatically revert to a lower commission tier.

Name *

Surname *

Select nearest Weylandts store

Danish

The Modernist Lifestyle

Handwoven Carpets

Art Print

Head Office

References

Banking Details