cash and carry application form

Cash And Carry Application Form

Please fill in the fields on the form below and click the 'submit' button to apply.
One of our members of staff will respond to your enquiry as soon as possible.

Date Of Application
Proprieters Name
Trading Address
Daytime Telephone
Evening Telephone
Fax Number
Mobile Number
Email Address (this information will be strictly for our use only)
Type Of Business
Number Of Years In Business
Please Provide 2 Trade References
1) Name
Address
2) Name
Address
Up to Three people in total are allowed to use the card when issued, the proprietor and two other names nominated by the proprietor. Please give details of the second and third names to be put on the card when issued:
Name
Position Held Within The Business
Name
Position Held Within The Business
If your business does not relate to the florist/gift trade please state which products you are interested in buying and for what purpose you intend to use them.