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

Full Name*:

Job Title*:

Email:

Contact person in Lerøy (if any):

Product or product segment of interest:

Company’s legal name*:

Yearly turnover*:

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

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*:

Purchase Manager

Name:

Phone:

Email:

Account Payable

Name:

Phone:

Email:

CEO

Name:

Phone:

Email:

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

Place*:

Date*:

Additional information (if any)

Word verification Refresh captcha

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Lerøy collects and processes 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