Customer Form

How to become a customer
Lerøy is a large Group with activities in many countries. Enter relevant information in the customer form, and a representative of our sales team will contact you. Please indicate if you already have a contact person.

Customer Form

Company’s legal name*:

Doing business as (DBA):

Street address*:

City*:

Postcode*:

Region*:

Country*:

Company registration number:

VAT/Tax no.:

EORI no. (EU only):

Dun & Bradstreet:

Certificate of business registration has to be presented. Please upload documentation.

Delivery address and name if differs from company details above. If changes are made in delivery address and name, Leroy Seafood has to be informed in writing.

If payments are made from third party, please specify name and address and explain connection:

Company website:

Year started*:

Yearly turnover*:

PURCHASE MANAGER

PURCHASE MANAGER

Purchase Mananger Name*:

Purchase Manager Phone*:

Purchase Manager Email*:

Account payable Name*:

Account payable Phone*:

Account payable Email*:

CEO Name*:

CEO Phone*:

CEO Email*:

Lerøy Contact person:

Product or product segment of interest:

I hereby certify that the information contained above is complete and accurate.

Full name*:

Job title*:

Place*:

Date*:

Additional information (if any)

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Lerøy collects and process personal information about our customers, suppliers and associates, such as liaison, email and telephone, to the extent necessary to manage and fulfill our contractual agreements. See our privacy statement at www.leroyseafood.com