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Customer Details

Company Name *

Address Line 1 *

Address Line 2 *

Postcode *

Business Type *

Registration Number

Registered Office Address and Postcode (if different from above)

Business Phone *

Business Fax

Email *

Purchasing Contact Name *

Purchasing Phone *

Accounts Contact Name *

Accounts Phone *

Trade References

Company 1

Company Name *

Contact *

Address and Postcode *

Phone *

Email *

Company 2

Company Name *

Contact *

Address and Postcode *

Phone *

Email *

Wiltshire Timber & Building Supplies Ltd is committed to protecting your privacy. We use the personal data we collect about you for the purposes described in our privacy policy including to provide with sales information and a more personalised visting experience with us. This privacy statement does not affect your rights under the Data protection legislation. I hereby authorise Wiltshire Timber & Building Supplies Ltd to obtain references from the above, as and when appropriate and to obtain nd hold my records for account purposes. I agree to abide by the Terms and Conditions as set out by Wiltshire Timber & Building Supplies Ltd

Purchaser *

Position *

Date *

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Items ()

Product	Description	Product Code	Qty
	Product Name {{product.name}}	Product Code {{product.sku}}

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Details

Address

Notes

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Category {{product.category_name}}

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Starting from

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Check stock in other branches

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Buy {{qtyprice.quantity}} or more for each

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Product Code: {{product.item_sku}}

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Application for Cash Account

Customer Details

Trade References

Company 1

Company 2

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OPENING TIMES

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Application for Cash Account

Customer Details

Trade References

Company 1

Company 2

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