New Customer Application Form

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




Delivery Information

Are you a member of any professional bodies?

Market Sector

Additional Notes & Comments

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).