Distributor Application | Lampfix

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Distributor Application

Subject *

Company Name *

Company Address & Post Code *

Company Phone No. *

Company Email *

Invoice Address & Post Code

Accounts Email

Trade Reference 1 - Name *

Trade Ref 1 - Phone No. and/or Email Address *

Trade Reference 2 - Name *

Trade Ref 2 - Phone No. and/or Email Address *

I/We agree that all accounts are due and payable within 30 days of invoice date, after which time they may be passed onto a third party and their charges will attach *

Signatories Name *

SUBMIT APPLICATION

By submitting this application, you agree to our terms and conditions.

For more information, call 01462731173

Lampfix had its beginnings in 1975
in Harrow, founded by Brian Smith,
who had a background in electrical
engineering.

   Lampfix, Unit 6 Fen End, Stotfold,
Hitchin, Hertfordshire SG5 4BA.
01462 731 173
  sales@lampfix.co.uk
  Monday - Friday (08:00 - 16:00)
Saturday - Sunday (CLOSED)

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