SAN/GLN Application Form

Organisation name*
Nature of Organisation*
(e.g. bookseller)
 
Name of SAN/GLN Contact*
(Please note that address and communication details will be included in our look-up database on this site. If you DO NOT wish your own name to appear as "SAN/GLN Contact" please tick this box )
Job Title
Dept/Ref
Address 1 *
Address 2
Address 3
City/Town*
Postcode*
County
Country
VAT Number
Reason for Application
(E.g.Nielsen Booknet ordering etc)
Telephone*
Fax
Mobile
Email* (*required field)
  If you require notification of the SAN to be sent to a different address from that given above please supply details in the box below.