MD Thompson - Become a Customer

Become a Customer
Trade Name
Your Name

First Name Last Name

Trade Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail
Phone Number

Area Code Phone Number
Fax Number

Area Code Phone Number

Company/Firm Details

Please complete either section A or B dependant on status and provide details of Bankers and two trade references.

Section A: Limited Company
Co. Reg. No
Company Name
Invoicing Address
Reg'd Post Code
Section B - Partnership/Sole Trader

Names of partners/proprietor with home addresses and telephone numbers
Partners

Trade References

It is of no use putting Electrical Wholesalers as trade references as they are reluctant to divulge this sort of information to a competitor!
Reference Name

First Name Last Name

Reference Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Reference Phone Number

Area Code Phone Number
Reference E-mail
Reference Fax Number

Area Code Phone Number
Annual Spend £
Bankers Name & Address
Should be Empty: