Use this form to request an account, the results will be emailed to us and we will get back to you as soon as we can.
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Your name:
*
Name of proprietor:
Name of business:
Business Address:
Phone Number:
Fax Number:
E-mail address:
Website address:
Are you applying for a (please tick):
Credit Account?
Pro-forma Account?
How long has the business been trading as a cycling retailer?
Do you have retail premises?
Yes
No*
Are you a limited company?
No
If you are a limited company, please supply your company registration number:
Are you aware that minimum order values apply?
Are you aware that we ask for a minimum of £300 first order?
Do you have warehousing facilities?
What Brands/Products are you interested in?
How did you hear about us?
Do you want to add a message?
Enter the text from the image:
When you've filled in the form, click on 'Send' to email it to us:
