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0800 197 65 65

0330 555 65 75

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Account Application Form

If you would like to apply for a trade account with us, please fill in and submit the form below.

Company Details

Business address (invoices and statements will be sent to this address)

Key personnel

Is the company a subsidiary of a group?

Address of holding company registered office

If you are not a limited company, would you be willing to sign a personal guarantee?

Are you already receiving our catalogue on a regular basis?

Who in your organisation will deal with payments due to us?

Who in your organisation is responsible for buying?

What does your organisation plan to buy? (Please tick relevant boxes)

If you already have credit accounts with other electrical wholesalers please list below

Bank Details

4c, The Birches Industrial Estate, Imberhorne Lane, East Grinstead, West Sussex, UK, RH19 1XZ
Copyright 1995-2012 QVS Electrical Supplies
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