Application Form

Notes:
Data Protection Act 1998
The information you provide will be used to assist in the processing of your application and, if you are successful, the promotion of your business as a member of the Buy With Confidence scheme, and if required, any subsequent enforcement enquiries.

Cost of joining the Scheme

• There is no fee for joining the scheme.
• Applicants who work in the home will have to pay approx £20 for each Criminal Records Bureau check.

Name of Applicant (If Ltd Company or Plc please enter full company name) : Type of Business (i.e. Sole Trader/Partnership/Limited Company): Trading Name(s): Head Office or Registered Office Address: Principal Place of Business (If different from above): Company Registration Number (If applicable) : Nature of Business (i.e. What you do): Company Secretary (If Ltd or Plc) : Managing Director (If Ltd or Plc) : If not Ltd or Plc, please include details of all partners (Name, Address & Status in company): Business Telephone Number: Business Fax Number: Business E-mail Address: Website Address: How many business premises do you have on the Isle of Wight?: Approximate Number of Staff (on the Isle of Wight): How many business premises do you have in the United Kingdom?: Does your business generate sales by Cold Calling? (If yes, please refer to the commitment by business in the terms of membership document - PARAGRAPH 4.10) Business Premises in this Authorities area for which an application is being made. Please provide the name and position of a contact for each premises. Address of Premises Contact Name within Business: Contact person's position: Telephone Number (landline and mobile): What are your expectations of 'Buy With Confidence'? PLEASE SIGN THIS ONLY IF YOU HAVE READ THE 'COMMITMENT BY BUSINESS' AND AGREE TO ABIDE BY IT Name of Signatory * : (If completing online type your name to sign the form) Position in Business: Dated: Please read the notes below before submitting your application Once your application has been received you will be contacted by Trading Standards to arrange an appointment to come and visit you.

DATA PROTECTION ACT 1998

I agree that in determining this application Isle of Wight Council Trading Standards Service may request information about my business from other organisations, and I authorise those organisations to release such information.

PLEASE NOTE:

* By submitting this application form you have agreed that this service may make the enquiries listed below without breaching your rights under the Data Protection Act.

As part of our approval process, checks will be made on applicant's previous history in relation to any of the following:

• County Court Judgements
• Criminal Convictions
• Consumer Credit Licence (where appropriate)
• Membership of any claimed trade associations or professional bodies
• Trading Standard Service's own database of enquiries
• Experian search including Company's House, Bankruptcy and disqualified directors search.