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Uber Design LtdÜber Design Limited - Contemporary Urban Living

Trade Account Application



To apply for a Trade Account please complete the form below. If your application is successful, your username and password will be delivered to the email address provided. Fields marked with a * are mandatory.

Company Information
Company / Trading Name: *
Year Company Was Established: *
Contact Name: *
Nature of Business: *
Business Address: *
Delivery Address: *
Post Code: *
Delivery Contact Tel No:
Telephone: *
Delivery Post Code: *
E-mail Address: *
Fax Number:
Please Provide Name and Private Address of Main Director / Owner / Partner
Name: *
Address: *
Company Reg Number: *
VAT Number: *
Other Information
How did you hear about us?: *
I have read and agree to the Terms & Conditions: *

  
 
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