Kevin Dempsey Distributors

Styleline Blinds - Prestigious Textiles

Contact Name * First Last
Company Name *
Trading Address *
Date / MM / DD YYYY
Phone *
Fax
Mobile
Email *
Have you purchased from us in the past?

Yes or No, if YES please give details...
Are you currently trading as : * Retailer Manufacturer and retailer Interior designer Other
Please choose at least one option
If 'Other' please detail :
Do you operate from a business premises or from your home? *
How long have you been trading?

XX Years
What other suppliers are you currently trading with?

is it on a credit account or cash sale basis?
Your interest is in : * Prestigious textiles Styleline blinds Quality linings Rugs Wallpapers Furniture
Please choose at least one option
Please advise which of the following options you would best prefer : Sales rep to phone you a sales rep to call to your premises an information pack to bo sent to you a visite to our showrooms
How did you hear about us? Advertising Word of mouth Internet Other
Any extra notes or comments?