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Peavey Service Centre Application Form

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Peavey Service Centre Application

Thank you for your interest in becoming a Peavey Service Centre.

As part of the application process you will be required to complete the below form to express your interest and to give us some further information about you and your company. As part of the Service Centre agreement you will receive a trade account for this website enabling you to buy products at trade price.

About

* Trading Name of Company
* Is this a Limited Company?
- Yes
- No
* Company Reg No.
* Trading Address

* Post Code
* Telephone

* Fax Number
* Email Address

Website
* Registered Name of Company
* Registered Office Address
* Postcode
Vat No.
* Name and Address of Senior Partner or Proprietor
* Postcode
* Accounts Contact Name

* Email Address

References

* Name of Trade Reference (1)

* Address of Trade Reference (1)
* Postcode

Fax
* Contact Name

* Contact Email Address
* Name of Trade Reference (2)

* Address of Trade Reference (2)
* Postcode

Fax
* Contact Name

* Contact Email Address
As part of the application process we require two Trade References to support your application.

* Required Fields

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Peavey Service Centre Application

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