Wholesale ACCOUNT FORM

This form is strictly to apply for a wholesale account.  If you have any questions regarding its usage please contact us first before attempting application.

BUSINESS DETAILS





BILLING ADDRESS







Check this box if Billing Address and Shipping Address are the same.

SHIPPING ADDRESS





CONTACT DETAILS







Payment Details (for your reference)

Bank Name : HSBC

Sort Code : 40 - 11 - 18

Account Number : 45162319

I confirm that all information supplied above is correct and accurate to apply for a VehicleBlinds Wholesale Account. Please also sign your initials in the box below.