B2B Trade Registration Form - LUBA Distribution Ltd

LUBA Distribution B2B Trade Application Form

If you want to become a reseller of our products, please fill out the below form so we can set you up swiftly.

Billing/Company Details:

Company Name:

Name 2:

Extra:

XI-EORI Number (Northern Ireland):

Street & Number

Post code:

City:

Country:

Company Website:

Delivery Address:

If your warehouse/ default delivery address is different from your above invoice address, please fill out the below. Otherwise, please skip this section.

Name 1

Name 2

Extra:

Telephone:

Street & Number

Post Code:

City:

Country:

General Contact Information:

Phone (General):

Email (General):

Mobile (urgent matters):

Point of Contact: Account Manager

Last Name:

First Name:

Department:

Position in Company:

Phone:

Email:

Further Contacts (if different from above):

E-Mail Address for PDF Invoices & Tracking Details:

Please state if you are planning on selling on the below platforms, as there may be restrictions in place by certain manufacturers.

Amazon username:

eBay Username:

Comments:

LUBA Distribution B2B Trade Application Form

Billing/Company Details:

Delivery Address:

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