New Customer

Business Details

Contact Name

Full Trading Name*

Trading as*

Please select type of Business
LtdPLCSole TraderPartnership

Company Reg. No.*

Nature of Business

How Long Trading

Address details

Invoice Address

Post Code

Tel. No.*

Fax. No.

Email address*


Registered Name and Address (Limited companies)
Principle address if sole trader / partnership

Post Code

Tel. No.

Fax. No.

Do you have a Vat No.?*

VAT Reg. No.*

Bank Details


Sort Code

Account Number

Intended method of payment

Credit limit required per month*

(Not to exceed 2 months purchases)

Our bank details for BACS payments



Sort Code 40-51-62

A/C No 14324282


I agree that the information given above is true and correct to the best of my knowledge.

I acknowledge that I have read and agree to the general terms of business.

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