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New Dealer Account Application
Please complete this form to apply for a new dealer account with our company.
IF YOU ALREADY HAVE A PON BIKE /JUNGLE ACCOUNT YOU DO NOT NEED TO COMPLETE THIS FORM
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* Indicates required question
Legal Business Name
*
Your answer
Trading As (If applicable)
Your answer
Business Structure
*
Sole Trader
Ltd Company
LLC (Limited Liability Company)
PLC
Other
Companies House/ Company Reg number (If applicable)
Your answer
VAT Number (If Applicable)
Your answer
How long has the business been trading?
Choose
Less than 1 year
1 - 3 years
3 - 5 years
5 - 10 years
More than 10 years
Owner/Director Name
*
Your answer
Owner/Director Email
*
Your answer
Owner/Director phone number
*
Your answer
Store /Premises Address
*
Your answer
Shipping Address (if different from store address)
Your answer
Primary Store Contact Name (Buyer/Manager)
*
Your answer
Accounts/ Finance Contact Name
*
Your answer
Accounts/ Finance Contact Phone Number
*
Your answer
Accounts and Invoicing Email Address
*
Your answer
Which Products You Wish to Purchase/Sell (Select all that apply)
*
Cannondale
One Up
Reserve
Required
If 'Other' was selected above, please specify product type(s).
Your answer
Trade Reference 1 - Company
Your answer
Trade Reference 2 - Company
Your answer
Agreement to Terms and Conditions
*
I confirm that all information provided is true and accurate
I agree to Jungle Products Ltd (T/A PBP-UK) Trading Terms and Conditions. Avalible to view here :
https://drive.google.com/file/d/1EvGvxPHh3CpvC-vZVKggxupW3V9_pvZV/view?usp=sharing
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