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| DiscountHouse |
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| 3/7
Wyndham Street |
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| Aldershot-Hants.GU12 4NY |
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| Tel: 01252
312345 Fax: 01252 680888 |
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| Email:
sales@discounthouse.co.uk Internet: www.discounthouse.co.uk |
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Trade Registration Form |
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| Full
Name ________________________________ |
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| Company ________________________________________________ |
___________ |
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| Address
__________________________________________ |
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| ____________________________________________________ |
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| Post Code __________________ |
TEL: ____________________ |
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| Fax:
__________________________ |
Mobile ________________ |
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| Email
____________________________________________ |
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| Style of Organisation |
Limited company___ |
Sole Trader/ |
Partnership___ |
Other |
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| Type
of Trade
____________________________________ |
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| VAT
No ____________________ Company Reg _____________________ |
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| I
confirm that I have read and accept the terms and conditions of sale detailed
at enclosed |
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| sheet.
I understand that all orders and purchases will be placed on those terms (or
any other |
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| term
adopted by you and notified to me in writing) |
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| I
confirm that all the information given on this page are in all respects true
and accurate. |
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| Data
Proection Act 1998 Notice |
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| Words
shown in italics are defined in the data protection act 1998 ("the
act") |
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| Where
I provide you with personal data ("data"), I understand that the
data will be held securely, in |
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| confidence
and processed for the purpose of carrying out your (supplier's trading
activity) business |
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| and associated activities. |
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| I
understand that under the act I have right to know what data you hold on me
if I apply to you in |
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| writing
and pay the applicable fee. |
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| Optional
for direct marketing purposes |
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| I
agree that you may use the data to contact me with details of other products
and services. |
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| I agree to
have received this information by tel, fax,email or in writing by post. |
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| Please
don't send me any marketting information |
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| Signatures _____________________ |
Position
_________________________ |
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| Name
in Block Capitals ___________________________________ |
Date: __________________ |
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