Wholesale Registration Wholesale Registration Form Customer Name Business Name Business Address Delivery Address Post Code Contact Number Post Code Contact Number Company Registration Number VAT Number EORI Number Website Social Media Purchasing Contact Name Purchasing Email Address Director/Proprietor Name Director/Proprietor email Home Address if not a Limited Company Post Code Type of Business Time in Business What type of Account are you applying for? Credit (14 days payment) Non-Credit Total Credit Limited request References - If you are applying for a non-credit basis account, please ignore the references section below Post Code Phone Number Email Post Code Phone Number Email I/We, the undersigned agree that any goods supplied to us by Lakes&Rivers LTD, will remain the property of Lakes&RiversLTD until paid in full. I/We, the undersigned agree to the Terms and Conditions of sale. I/We understand that all purchases must be paid in full by 14 days net from the date of invoice, unless otherwise agreed in writing by our Sales Office. I/We understand that I/We must inform Lakes&Rivers LTD in writing, of any breakages or credit claim, within 7 working days from date of invoice. Sign Printed Position Date Submit