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Fairline Distribution LTD

Unit 10, 2M Trade Park
Beddow Way
Aylesford
Kent
ME20 7BT

Tel: +44 (0)1622 716688
Fax: +44 (0)1622 719336


E-mail:sales@fairline.co.uk

Authorised Sub Distributors

1st Connectivity Ltd

GR Kabel

GHO Distribution Ltd - Ireland

Please download and read our TERMS & CONDITIONS before submitting this form.

"Please note that fields marked with a * are required."

Trading Address:  
Trading Name (in full): *
Trading address (invoice address): *
Town: *
County: *
Postcode: *
Telephone: *
Fax: *
Email: *
   
Delivery Address (if different from trading):  
Delivery address:
Town:
County:
Postcode:
Telephone:
   
Purchasing Details:  
Purchasing contact: *
Telephone number: *
Email: *
Would you like to receive updated Price Lists & Special Offers via e-mail? Yes No *
   
Login Information:  
Do you require a trade password & login for our website? Yes No *
Requested Username: (max of 15 characters)
Requested Password: (max of 8 characters)
   
Credit Details:  
Credit Control contact: *
Telephone number: *
Email: *
Amount of monthly credit required: *
 
What are your standard trading terms (How do you normally pay purchase invoices): *
Date of cheque runs (if applicable):
   
Bank Details:  
Bank name: *
Address: *
Town: *
County: *
Postcode: *
Account Number: *
Sort Code: *
   
Trade Reference:  
Name: *
Address: *
Town: *
County: *
Postcode: *
How long have you dealt with them: *
Current value of business per month: *
Telephone: *
Fax:
Contact: *
   
Company Background:  
Type of company: PLC LTD Partnership Sole Trader *
Address of registered office(If the same as trading address, enter "Same as trading address"): *
Town: *
County: *
Postcode: *
Company registration Number: *
Number of employee's:
Annual turnover:
VAT No.: *
How long established:
Are you a subsidiary of another company: Yes No *
If Yes who?:
   
Market Sector: (tick only one) *  
Network Installer
PC Builder
Shop
Solutions Provider
VAR
School
Maintenance
Consultant
Software

Government Dept.

Corporate
College
Distributor
Retail (user)
Telecoms
   
Products Purchased: (tick all that apply) *
PC Components
Add-on cards
KVM
Peripherals & Accessories
Network Products
Security
Notebooks & PDAs
Multimedia
Telecoms
Power Protection
All of these
Please give a brief description of your company's trading activities:
 

THE COMPANY WILL SETTLE ACCOUNTS WITHIN 30 DAYS OF INVOICE

I confirm that I am authorised to act on behalf of the company to which this application pertains.

I have read Fairlines tems and conditions of sale and agree that all goods and services provided by Fairline Distribution LTD. will be subject to these conditions at all times.
   
Completed & Submitted by: *
   
 
   



   
 
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