New Account Application

Please complete this application to become a Toolpak stockist

Director/Proprietor Contact Details:
Director/Proprietor Full Name: *
Main Contact Details:
Main Contacts Full Name: *
Accounts Department Contact Details:
Accounts Contact Full Name: *
Email address for Accounts Contact / Required to receive statements and invoices: *
Telephone No: *
Fax No: *
Full Company Name - The Company Name is the body accepting full responsibility for settlement. If a Partnership, give name of partners. If a Limited Company, give full trading title of company.:
Full Company Name: *
Trading Title (If Different):
Name:
Company Type: 
 
 
 
 
Company Registration Number:
VAT Registration Number:
Invoice Address:
Address: *
Town/City: *
County: *
Post Code: *
Country: *
Registered Office Address (If Different):
Address:
Town/City:
Country:
Telephone:
Fax Number:
Email address (Required for your Toolpak website login): *
Website Address:
Established since year? *
Type of Account Required:  *
 
If you require a 30 Day Credit Account please state monthly credit required:
Trade Reference:
Trade Reference 1:
Name: *
Address: *
Post Code: *
Telephone Number: *
Trade Reference 2:
Name: *
Address: *
Post Code: *
Telephone Number: *
Toolpak supplies only genuine retailers:
I hereby state I am a genuine retailer and any products purchased by me from Toolpak are for resale and not for my personal use.:  *
The information given is true and accounts are granted subject to status and credit check with a third party. Tick to agree:  *
Yes I've read and agree to Toolpak Terms & Conditions of Business:  *
Yes I've read and agree to Toolpak Privacy Policy:  *

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