Initial application to become an Approved retailer / service centre

Please complete the form to apply to become an Approved retailer / service centre.

* marks a required field.

Contact Information *Contact Name: *Business Name: *Telephone Number: Fax. Number: Mobile Number: *E-mail Address: Website Address:

Address *Building Number/Name: *Street: *Area: *City: *County: *Country: *Postcode:

Delivery Address Same as above Building Number/Name: Street: Area: City: County: Country: Postcode:

Business Description *Type of Business: *Number of Retail Outlets: *Location and Sizes of Retail Outlets (ft2 or m2): *For what area or postcode(s) are you applying to become an Approved Oreck^® retailer / service centre? *Which of the following are you applying to become? Approved Retailer Approved Service Centre

Business Information *Registered Number of Company: *Annual Turnover: *Year Established: VAT Registration No.:

Trade Reference 1 Building Number / Name: Street: Area: City: County: Country: Postcode: Telephone Number: Fax. Number: No. of years in Business Year Established

Trade Reference 2 Building Number / Name: Street: Area: City: County: Country: Postcode: Telephone Number: Fax. Number: No. of years in Business Year Established

To enable speedy processing of your application we require photographs of your shop frontage and an original sheet of company headed paper.

Please email photographs of your shop frontage and interior to Trade@Oreck.co.uk. Please title your email 'PHOTOS' plus the name of your shop.

Please forward a sheet of original headed paper to Ivor Shapiro, Oreck Trade, 32 Marsh Green Road West, Exeter, EX2 8PN.

Account

Initial application to become an Approved retailer / service centre