Export Enquiry Form - Laval Cosmetics

Export Account Application copy

Business(*)

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Business Name(*)

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Company Name

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Trade(*)

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Years Trading(*)

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Number of Employees(*)

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Business Address

Registered Address(*)

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Delivery Address

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E Mail(*)

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Website Address

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Telephone Number(*)

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Proprietor or Director Details

Proprietor/Director Name

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Proprietor/Director E Mail

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Proprietor/Director Address

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Freight Forwarder Details (If Known)

Address

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Company Name

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E Mail

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Contact Name

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Phone Number

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Sales/Account Information

Accounts Contact Name(*)

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Contact E Mail(*)

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Est Monthly Spend(*)

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Current Annual Turnover(*)

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Currently Sell Laval?

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Trade References

Please provide details of 2 referees

Reference 1

Full Name(*)

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Company Name(*)

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E Mail(*)

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Phone(*)

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Address(*)

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Reference 2

Full Name(*)

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Company Name(*)

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E Mail(*)

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Phone(*)

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Address(*)

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Declaration

I have read and agree to your terms and conditions of sale. I confirm that by submitting this form I am electronically signing this agreement on behalf of the company stated above.
I agree to any credit searches and references to be made with the details I have provided above. I understand that my application may be rejected if I do not provide the full information or make a false declaration. I agree that Laval Cosmetics can use this information in order to provide me with goods, services and communication.

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Account Wording

Export Account Application copy

Reference 1

Reference 2

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