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Section One: Company Information

Invoice Address

Delivery Address

If you are a mobile based customer, please provide the first part of all postcodes which you visit, e.g. NN1, NN2, MK42

Please tick the box if you DO NOT provide your consent for Serenco (UK) Ltd to pass on your contact information for customer enquiries in your area

Section Two: Contact Details

Accounts Contact

Invoices & statements will be sent to above email

Sales Contact

Section Three: Marketing Information

We will class you as having a legitimate interest to receiving our latest news and offers by post, email and mobile for the first two years of opening your account. If you have not engaged with us during this time we will remove you from our mailing list. You are able to unsubscribe at any time, including by ticking the box(es) below.





Complimentary monthly Tool Times flyers are available to applicable accounts.

Section Four: Bank Details

Section Five: Trade References

Please supply contact details of two credit referees

Trade Reference 1

Trade Reference 2

Section Six: Declaration

I/We hereby confirm that I/we agree to abide by the company's Terms & Conditions (copy available on request). By signing this form I/we consent to Serenco (UK) Ltd seeking trade references as listed above, and understand a credit check may be undertaken for this application.

Please note the completion of this form does not constitute acceptance of your application.