Design Vicenza Trade Customer Questionnaire

Trade Customer Registration

Fields marked with * are mandatory
We're asking you to fill out the customer questionnaire below to get you going straight away.It only takes a few minutes to complete. We are sure you can appreciate that it is important to safeguard our prices to the retail trade so we do need some basic information from you. Once we have your correct details, we are able to keep you up to date with all our promotional offers. As soon as we receive the completed questionnaire, we will enter your details on our order management system, and send you a starter pack with information, either by post or digitally.
Trading Name *
About your Company
Owner Name *
Company Reg. Number *
Company VAT Number *
Number of years Trading *
Annual Turnover *
Number of outlets
Number of employees
Phone Number *

Area Code Phone Number
Fax Number

Area Code Phone Number
Your client base : *

Retail
Your client base : *

Internet
Retail Sales Percentage
Online Sales Percentage
E-mail *
List your websites:
Registered Address
Street Address *
Address Line 2 *
City *
State / Province / Region *
Postal / Zip Code *
Delivery / Warehouse Address
Same as registered address:

Yes No
Street Address *
Address Line 2 *
City *
State / Province / Region *
Postal / Zip Code *
Contact name(s) for:
Accounts *
Orders *
Deliveries *
I.T. Support *
Contact Details
Telephone : +44 1554 891 678
Fax : +44 1554 891 511
Email : info@designvicenza.com

Design Vicenza Limited Registered office:
THE ANNEXE GORS FARM
MAESYBONT
LLANELLI
CARMARTHENSHIRE
SA14 7HH

Company Registration number: 05813369
VAT Registration number : 219591683

Showroom & Office Address:
Unit 8
Pembrey Properties Industrial Estate
Pembrey
Carmarthenshire
SA16 0HZ
Enter the message as it's shown *
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Trade Customer Registration

About your Company

Registered Address

Delivery / Warehouse Address

Contact name(s) for: