Company Application Form First Name* Last Name* Registered Company Name* Registered Company Address* Registered Company Town / City* Registered Company Postcode* UK Company Number VAT Number Website Trading Company Name Trading Company Address Trading Company City Trading Company Postal Code Phone Primary Name Primary Email Primary Job Title Primary Mobile Secondary Name Secondary Email Secondary Job Title Secondary Mobile Accounts Name Accounts Email Accounts Job Title Accounts Mobile Gross Turnover Dates 1 (e.g FEB 2017 - JAN 2018) Gross Turnover Value 1 Gross Turnover Dates 2 (e.g FEB 2017 - JAN 2018) Gross Turnover Value 2 Gross Turnover Dates 3 (e.g FEB 2017 - JAN 2018) Gross Turnover Value 3 No of Employees Main Category* -None- Manufacturer Retailer Wholesaler Sourcing Brand Designer Bespoke maker Components Tannery Business support Education Agent / distributor Remedial / repairer Associated product Other (please specify) Main Category Other Additional Areas -None- Manufacturer Retailer Wholesaler Sourcing Brand Designer Bespoke maker Components Tannery Business support Education Agent / distributor Remedial / repairer Associated product Other (please specify) Additional Areas Other Footwear Category Mens -None- Casual Dress Slippers Sport Sandals Footwear Category Womens -None- Casual Dress Slippers Sport Sandals Footwear Category Other -None- Bespoke Childrens Cleaning & Accessories Comfort Consultant Dance Educator Emerging Designer Graduate Insoles Orthopedic & Medical Outdoors Safety / work Technical specialist Testing Brands Owned Key MarketEnter the Captcha Reload