Become a Buff Dealer

Please fill out all fields below to apply for a trade account on the Buffera Ltd. trade website. Fields marked with an asterisk (*) are required. Please supply three trade references who you are happy for us to approach regarding your credit status.  When we have received these references and are happy with their content we will send you a retailer pack and our Account Application form for completion.
First Name*:
Last Name*:
Email Address*:
Business Name*:
Address 1*:
Address 2*:
City*:
County*:
Postal Code*:
Country*:
Phone Number*:
Fax Number*:
VAT*:
Company Registration Number*:
Accounts Contact Name and Tel No*:
Primary Retail Type (please tick ONE)*: Sole Trader/Single Shop Window
Web/Catalogue
2-5 Stores
6+ Outlets
Primary Business Sector (please tick ONE)*: Running/Athletics/Sport
Outdoor/Travel
Camping
Equestrian/Agricultural/Country/Fishing
Surf/Skate.Kite/Street
Cycle/Triathlon
Motorbike
Garden/Leisure/Gift
Oncology/Tricology
Workwear/Corp. Clothing/Professional
Fashion
Marine/Canoe/Kayak
Other (eg Pets, Charity)
First Referee
Contact Details of First Trade Reference incl address, tel and fax numbers*:
Second Referee
Contact Details of Second Trade Reference incl address, tel and fax numbers*:
Third Referee
Contact details of Third Trade Reference incl address, tel and fax numbers*:


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