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Leftbg Application Form

Dear New Customer - Welcome to Access Point, Please find below your Application to Trade form.

This will provide us with all the information we need to process your application, can you please complete and return with the following:
  • Copy of Public Liability Insurance (minimum cover £2 Million)
  • Company Letterhead
  • Promotional Literature
  • BanK and trade references as detailed on the application form

    In order for your application to be processed quickly, please note that the fields marked with a * are mandatory. If your company is Limited it is important to include the company's registration number and address. If you are a non Limited company home address(es) of the proprietor('s) required.

    PLEASE KEEP ALL INFORMATION WITHIN THE BOX CONSTRAINTS

    Contact Name*
    Position*
    Company Name(Ltd)*
    Or Trading As*
    Trading Address*  
    Reg Office/
    Accounts Address*
    Or
    Owners Address
      
    Telephone*
    Fax*
    Email
    Company reg No.
    (if applic)*
    Date Incorporated

    Products and Planned Special Promotions
    Location of stores requested i.e. Postcodes/Areas
    Name/Email address of person dealing with booking (if diifers from above).

    Documentation Required (please give details of submitted documents)
    *Business Letterhead:YESNO
    *Public Liability Insurance:YESNO Date Of Renewal
    *Promotional Material:YESNO  

    REF (for office use only)
    Approved by Access Point
    Approved by Store

    Additional Information
    No.of trading locations (include details of all associated companies if applicable, and specify if you wish to promote more than one company or trading name in stores.

    No. of years company/ies have been in business   Years

    Is your franchise or subsidiary of larger company/ies? If so please provide details.
    For non limited companies please list all proprietors with home addresses (if less than 3 years please provide previous address).
    Total number of full and part time employees (please state whether any instore reps/sales force are self employed.
    Please confirm how commission structure works in relation to earnings of instore reps/sales force.

    BANK REFERENCE - please request and submit with application.

    Name of Bank
    2 trade references, preferably including your landlord and/or your accountant (please request and submit with application).
    Does your company/ies regularly promote in other locations? If so please provide details.

    If you require any additional information please call us on 01704 544999


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