Account Setup

Cash Account Application Form

Complete the form below to apply for a cash account with Pro UV Lamps Ltd. All fields help us set up your account quickly and accurately.

Completed forms should be returned to: Pro UV Lamps Ltd, Centauri House, Hillbottom Road, High Wycombe, Bucks. HP12 4HQ or email sales@prouvlamps.com.

1. Company Details

Company *

Address1 *

Address2

Town / City *

County

Postcode *

Country *

Phone *

Fax

Website

VAT

EORI No

Company Registration Number

Delivery address is different from company address

2. Contacts

Key Contact Name *

Key Contact Email *

Purchaser Name

Purchaser Telephone

Purchaser Email

Accounts Payable Name

Accounts Payable Telephone

Accounts Payable Email

Invoice Email Address

3. Additional Information

Open Hours

Best Time To Contact

Order Acknowledgement Email

Where You Heard About Us

Account Requested By *

Position In Company

Want Marketing Emails

Declaration

By submitting this form I confirm that the information provided is accurate and I agree to the Terms and Conditions of Sale. Completed forms will be reviewed subject to account status. Signed forms may also be posted to: Pro UV Lamps Ltd, Centauri House, Hillbottom Road, High Wycombe, Bucks. HP12 4HQ.

I accept the Terms and Conditions of Sale *