First Name *

Last Name *

Trading Name

House Number Or Name *

Street *

Town *

Post Code *

Phone *

Email *

Main Business Activity *

*If Other - Please Specify

Estimated Monthly Spend *

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Upload Proof Of Identity *

By checking the box below, I the undersigned apply to Coomers Ltd for a Trade Card and declare the information given above is true and accurate. I confirm that I have read the “Conditions of Sale” on Coomers' website and agree to become legally bound by them. Coomers Ltd reserves the right to terminate the Trade Card forthwith without notice. *

By checking this box, I am signing as an Authorised Signatory of the Customer

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Date Of Signature *

By clicking submit below, you consent to allow Coomers Timber & Building Supplies to store and process the personal information submitted above to provide you the content requested. Coomers Timber & Building Supplies is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you.

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