Company registered name

Trading Name (if different)

Type of business (Ltd/Plc/Sole trader/other)

Specific Nature of Business (Distributor, Online Retailer, Builders, Market Trader)

Company registration No. (if applicable)

Company VAT no. (if applicable)

Date company commenced trading

Are you a member of and wish to be invoiced through
NMBSBIRAHome HardwareHome Hardware ScotlandNone

Telephone number

Accounts telephone number (if different)

Accounts email address

Order acknowledgement email address

Invoice address

Delivery address (if different)

Approximate value of monthly order

Credit limit required

Your name

Position in the business