Rebel Office Supplies Business Application Form

First Name *

Last Name *

E-Mail *

Phone Number *

Business Name *

Company Registration No *

VAT no

Street Address *

Address Line 2

City

County

Post Code *

Country / Region

How long have you been trading for? *

Same as trading address

Street Address

Address Line 2

City

County

Postal / Zip Code

Country / Region

First Name *

Last Name *

Email *

Telephone No *

Nature of business *

No. of employees *1 to 56 to 1011 to 5051 to 100100 +

Average Monthly Spend *Unknown£0 - £100£101 - £500£501 - £1000£1001 - £5000£5000 +

Monthly Credit Required *

I agree to comply with the Rebel Office Supplies Terms & Conditions *

I agree for Rebel Office Supplies to use my ‘personal data’ for the purpose of delivering and processing my order, sending correspondence and adhering to the General Data Protection Regulation *

I confirm that all invoices will be paid within the agreed terms *