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WooCommerce Extra Fields

First Name *

Last Name *


Format ***-***-****

Company Name *

Company Number

VAT Number

Position In Company

Address *

Postcode *

Country *

Where did you hear about Trimex? *

What product areas are you interested in? *

Where do you trade? *

How long have you been trading? *

What is the nature of your business? *

Trade Reference 1

Company Name & Address

Trade Reference 2

Company Name & Address

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