YumYum account

Thank you for choosing to apply for one our brands. Please click on the relevant application form,
complete it in full for further information, advice or guidance contact
Lee Davies on 01675 475 838 or Email any questions to lee@yumyumshoes.com.

Account applying for:

Business Name *

Business Type *

No of branches

Title

Surname*

Forenames*

Street address*

Street address line 2

City/Town*

Postcode*

Country*

Business Telephone No*

Fax Telephone No*

VAT ID No

Company Reg No

Email Address

Bank info

Banks*

Account No *

Sort code *

Street address*

Street address line 2

City/Town*

Postcode*

Country*

Phone No *

Fax No *

Partners/Principal/Proprietor 1

Title

Surname*

Forenames*

Street address*

Street address line 2

City/Town*

Postcode*

Country*

Partners/Principal/Proprietor 2

Title

Surname*

Forenames*

Street address*

Street address line 2

City/Town*

Postcode*

Country*

Partners/Principal/Proprietor 3

Title

Surname*

Forenames*

Street address*

Street address line 2

City/Town*

Postcode*

Country*

Trade References 1

Company*

Street address*

Street address line 2

City/Town*

Postcode*

Phone No *

Fax No *

Contact Name *

Trade References 1

Company*

Street address*

Street address line 2

City/Town*

Postcode*

Phone No *

Fax No *

Contact Name *

AdditionalInformation

Declaration

I confirm that the details provided in this application are accurate

YumYum shoes collects data about all applicants for ordering and collating reasons. Because of the Data Protection Act 1998 we need your consent before we can do this. Since we cannot operate the business effectively without processing information about you, we need you to agree to the following 'consent to process' clause. If you do not agree to this we will not be able to offer you an account, and may withdraw any offer already made. As you cannot sign this form, as a condition of undertaking the account/order we will ask you to sign a form via post.

Please note that the data sent in this form is not encrypted.

I agree to YumYum shoes processing my personal/business data contained in this form, or any other data YumYum shoes may obtain from me or other people. I agree to the processing of such data for any purpose connected with my business, or for any legitimate reason. As you cannot sign this form, as a condition of undertaking this business transaction we will ask you to sign a form stating the above via post.

I, the Applicant, declare that the information contained in this application/order form is correct.

	YumYum shoes account form
	YumYum shoes order form