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New Account Opening Form
Full Company Name
Trading As
Main Contact Name
Address Line 1
Address Line 2
Postal Code
County
Country
City
Telephone Number
Email Address
Type of Business
Please select...
Housing Authority
Local Authority
Sole Trader
Partnership
Limited Company
PLC
Installer
Contractor
Wholesaler
OEM
VAT Number
Company Registration Number
Principal Director Name 1
Delivery Address
Telephone Number for Deliveries
Company Bank Name
Accounts Contact Name
Accounts Contact Phone
Trade Reference 1 Business Name
Trade Ref 1 Main Contact Name
Trade Ref 1 Phone Number
Monthly Spend with Trade Ref 1
Requested Credit Limit (Net)
Additional Comments
Declaration
I/We hereby apply to open an account subject to the terms and conditions of sale which can be found at
Conditions of sale | Legrand
and declare that the information above is true and accurate.
Full Name
Position in Company
Date
PAYMENT IS STRICTLY 30 DAYS AFTER MONTH OF INVOICE SUBJECT TO ACCEPTANCE
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Privacy notice | Legrand
Contact Information