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Importers - Wholesalers - Distributors

New customer application form


Thank you for visiting our website.

For all new customers, please complete the 'New customer form' below to enable us to open a trading account. Unfortunately we cannot accept any orders until your account has been set up successfully.

Completed forms are sent automatically to our accounts department, and we will endeavour to open your account within one working day (24 hours). On successful application, your sign in details will be emailed across to you, which will then enable you full access to our website and complete the shopping cart function.
*Company Name:
*Trading Address - Street (1):
Trading Address - Street (2):
*Trading Address - Town:
*Trading Address - County:
*Trading Address - Postcode:
*Telephone Number:
*Email Address:
Company Registration Number:
VAT Registration Number:
*Contact Name:
PHONE
+44 (0)208 854 3500
Monday to Friday, from 7.30am to 5pm
E-MAIL
accounts@augustenoel.co.uk