New Customer Application Form
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New Customer Application Form
Complete the form to begin the trade account process.
We only supply to the fireplace industry & associated trades.
Please note our Gallery, Penman, Trimline and Solus Brands are distributed through an authorised dealership network.
Opening a Trade Account with us may not automatically give you access to our entire range of products, this could be due to geographical location or other contributing factors.
Once we have received your application it will be reviewed, and when approved we will be in touch with product, range availability and other useful information.
Please provide as much detail as possible, this helps the account creation process.
Fields marked with * are required.
Information About Your Business*
Contact Information
Use Primary as Sales Contact
Use Primary as Accounts Contact
Delivery Information
Same as Above
Are you a member of any professional bodies?
(e.g. HETAS, MICA, NACS etc, if yes please include registration/membership numbers)
Market Sector
Fireplace Shop
Coal Merchant
Chimney Sweep
Wholesaler
Merchant
Ironmonger
General Builder
Installer
Additional Notes & Comments
Please provide as much detail as possible
Accept & Agree
We wish to become a customer with Percy Doughty and agree to comply with
Standard
Terms and Conditions
of Sale as listed in the catalogue or website(s).
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