New Account

Trade Account Application Form

Please allow 2 working days to process your application.

* required fields

Title*
Forename*
Surname*
   
Company Name*
Address 1*
Address 2
County*
Postcode*
Do you have a Bira account?*  
Bira Account Number*
Company Registration Number *  
VAT Registration Number *  
  Please include prefix e.g. GB
   
Telephone*
Fax
Email*
We require your consent to send you marketing communications via email. We do not pass your information on to any third parties.
Web Address
   
Type of Business?*



Business Description*
I / We accept Lesser & Pavey Terms and Conditions*