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ACCOUNT APPLICATION
 

Please complete your details in the form below and your password will be forwarded to you on approval of your account:(Those fields marked with * are required)

Alternatively you can down load a pdf file to complete and process off-line.

  Please enter your email address which will be your User name.
Email address/User name*:
 
1. FULL TRADING TITLE AND ADDRESS
  Title*
  Address1*
  Address2
  Town*
 
Postcode
   
 
Telephone No.*
Fax No
 
Account Contact*
   
         
2 YOUR COMPANY REGISTRATION NUMBER*
  Vat number* Years trading*
         
3 NAME & ADDRESS OF PROPRIETOR OR PARTNER (if not a Limited Company)
  Name
  Address1
  Address2
  Town
  Postcode    
         
4 NATURE OF YOUR BUSINESS*
 
         
5 NAME OF BUYER AT THIS ADDRESS*
 
  Job title*
  Telephone No.* Fax No.
  (This name will be added to our mailing list to receive our literature)
         
6 INVOICE ADDRESS IF DIFFERENT FROM ABOVE
  Address1
  Address2
  Town
  Postcode    
  Telephone No. Fax No.
         
7 DO YOU REQUIRE AN ORDER NUMBER ON OUR INVOICES?*
  Yes No
         
8 IS YOUR COMPANY PART OF A LARGER GROUP? IF SO, WHICH ONE?
 
         
9 BANK NAME AND ADDRESS
  Name
  Address1
  Address2
  Town
  Postcode    
  Sort Code Account No.
         
10 PLEASE GIVE NAMES AND ADDRESSES OF TWO SUITABLE TRADE REFEREES
(i)
Name
  Address1
  Address2
  Town
  Postcode    
  Telephone No. Fax No.
  Account No.
 
(ii)
Name
  Address1
  Address2
  Town
  Postcode    
  Telephone No. Fax No.
  Account No.
         
11 PLEASE STATE AMOUNT OF MONTHLY CREDIT REQUIRED
  £    
         
  Our standard terms of payment are Nett Monthly. Please sign below to show acceptance of this and all other terms and conditions
         
  We duly authorise our bankers as in (9) above to provide a reference on us to Scoutneckers.com, a division of Macnaughton Holdings Limited.
SIGNED:   DATE:  
NAME:   POSITION:  
  Please print and sign this form before sending it to Macnaughton Holdings Limited, and then hit the submit button.
    Print  

 

On made to order neckers please allow 28 days for delivery.

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