Part 1

*Full trading name:
*Person responsible for account:
*Position in company:
Length of time trading:
*Type of business:	Sole trader
	Partnership
	Ltd Company     Please supply reg. no:

Part 2

Full trading address:
*Street:
*Town:
*County:
*Postcode:
*Landline Tel no:
*Mobile no:
Fax No:
*Email:
Full home address:
*Street:
*Town:
*County:
*Postcode:
*Landline Tel no:
*Mobile no:
Fax No:
*Email:

Part 3

Please specify your type of trade:

Gift shop

Interior design

Furniture

Garden Centre

Lighting Retailer

Fireplaces

Florist

Other    Please specify:

Part 4

Trade reference(1):
Name:
Street:
Town:
County:
Postcode:
Tel no:
Fax no:
Trade reference(2):
Name:
Street:
Town:
County:
Postcode:
Tel no:
Fax No:

Part 5

Bank account in the name of:
Sort code:
Account number:
Credit limit required: £
Branch address:

Part 6

How did you hear about JIG?:

Website

Promotional Email

Mailshot

Recommendation

Trade Advert

Trade Show

Other        Please specify:

*We agree to comply with the terms and conditions of sale. Click here for full terms & conditions

The information you provide will be held on our database and/or in our records and may be shared for monitoring and administration purposes with other companies. If at any time, you do not wish your details to be used in this way, please write to: JIG UK Ltd, Hurlingham Business Park, Fulbeck Heath, Grantham, Lincolnshire, NG32 3HL.