Bookseller Application Form

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General Company Information
1Company Name*
2Registered company number*
3VAT number (if applicable)
4Type of company*
5Alternative trading names (if any)
6Telephone*
Registered company address
7Address line 1*
8Address line 2
9Address line 3
10Town*
11City*
12Postcode / Zip*
13Country*
14Do you have a different trading/delivery address*
Trading/Delivery Address
14(a)Address line 1*
14(b)Address line 2
14(c)Address line 3
14(d)Town*
14(e)City*
14(f)Postcode / Zip*
14(g)Country*
Company background
15What year was your business established?*
16How many years have you been at your trading/delivery address*
17What is the nature of your business*
Authorised Contact 1
18Name*
19Email address*
20Telephone*
21Permissions*
22Would you like to add another contact?*
Authorised Contact 2
22(a)Name*
22(b)Email address*
22(c)Telephone*
22(d)Permissions*
Comments
23If you would like to add any additional comments, messages or information, you can do so here
* required