Company/Trading Name

Contact Name

Business Address

Post Code

Telephone

Mobile No

Fax No

Email Address

Website Address

Company Reg No

VAT Registration No

Delivery Address (If different from business address)

Delivery Post Code

Please provide name and private address of main director / owner / partner

Name

Address

Please provide the names of the two persons to be authorised to visit our showrooms as buyers and use our collect facility

Authorised Name 1

Authorised Name 2

Nature of Company Business

Year Company was Established

Nature of Business

Furniture Retailer
Giftware Retailer
Interior Designer
Internet/Mail Order
Other

Please Specify if Other

For Property Development, Interior Design, Refurbishment / Other, there is a minimum order value of £1500.00

If current purchase invoices cannot be supplied, we require a letter from your Accountant, Solicitor or Bank manager confirming the nature of your business and how you will be using the goods purchased from Coach House.

Proof of Trade 1

Contact Name

Address

Telephone

Fax No

How long dealt with

Proof of Trade 2

Contact Name

Address

Telephone

Fax No

How long dealt with

Other Information

How did you hear about us?