Company Name

Address

Country

Post Code

Telephone

Fax

Email Address

Contact Person

Job Title

Please tick which of the following apply:

Furniture Retailer

Interior Designer

Architect

Soft Furnishings

Contract Specify

Other (please specify)

 

If a showroom, please provide the following information:

Showroom Floor Space:
sq. metres sq. feet

What percentage of this would you be interested in using to create a Gustavian range display?:

Days & hours of opening (so our Agent/Rep can call at a convenient time):

Company Type Choose Limited Partnership Sole Trader

Co. Registration No.

US Licence No.
(if applicable)

UK VAT/US Tax ID No.

Please supply two trade references:

Reference 1

Name

Address

Telephone

Your account no./ref.

Reference 2

Name

Address

Telephone

Your account no./ref.