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Buy With Confidence Application Form

Registration detail

First Name: * Last Name: * Position in Business: * Name of Business Applying: * Trading Name(s): (If different) How long have you been trading under this name?: * Previous Trading Names: (where applicable) Type of Business: *

Sole Trader
Partnership
Limited Company
PLC
Charity

Nature of Business: *(i.e. What you do.) Business Sector: * Business Telephone number: *(Including dialling code) Business Fax number: Business Email Address: * Web Site Address:

Partnerships ONLY:

Name of Partner: * Position in Company: Full Address:*Post Code: *

Limited Companies and PLCs ONLY:

Managing Director: * Company Secretary:

Premises Address

Full Address:*Post Code: *

Telephone: Mobile: Fax: Email: Head/administrative office:

Yes
No

Other details

How many people work for your company?: Do you use sub-contractors?:

Yes
No

Do you generate sales by cold-calling?:

Yes
No

Company contact for application queries:

Contact Name: * Position: * Telephone: * Mobile: Email: * Reference Code:

How did you hear about Buy With Confidence:

Free newspaper
Paid newpaper
Letter/Flyer from BWC
Radio advert
Recomended by a member
Word of mouth
Other (Please specify)

Expectations of the Scheme: Please list any Trade Association memberships:

I agree to abide by Terms of Memberships

I agree to abide by BWC+Care - Terms and Conditions

Full Address:*Post Code: *

Telephone: Mobile: Fax: Email: Head/administrative office:

Yes
No

Name of Partner: * Position in Company: Full Address:*Post Code: *