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merchlin Account Application

Please complete the form below to request a merchlin distributor trading account. Once your application has been received you will then be notified by email when your account has been established. Credit, payment order and delivery terms will be provided to you separately for your review and agreement.

If you do have any queries regarding completion of this form please email accounts@merchlin.com.

    1. Business Background

    Company Legal Name (required)

    Company Trading Name (if different from legal name)

    Company website

    Fax No.

    Business Type

    Estimated monthly trading value in USD (required)

    2. Main Physical Address

    Street (required)

    Town/City (required)

    State

    Country (required)

    Zip code/Post code

    3. Other Physical Addresses

    Enter other branch or office locations for your business

    Postal Address

    Street/PO Box (required)

    Town/City (required)

    State

    Country (required)

    Zip code/Post code

    4. Contact Person for Accounts

    Who should we contact regarding credit and payments?

    Contact Name (required)

    Contact email (required)

    Contact phone (required)

    5. Contact Person for Orders

    Who should we contact regarding orders placed with us?

    Contact Name (required)

    Contact email (required)

    Contact phone (required)

    6. Contact Person for Sales

    Who should we contact for end user sales enquiries and leads?

    Contact Name (required)

    Contact email (required)

    Contact phone (required)

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