Account Application

Use the form below to request an account application, you can also contact us on +44 (0) 28 8675 2090 or by email: info@bickersdornan.com

Please note: We only accept applications from trade customers, in the relevant industry, with a full-time business and commercial premises. A site visit will be required prior to approval of your application.

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Name (Contact Person) *

First

Last

Business Name *

First

Last

Business Address *

Postcode *

Telephone Number

Email

Website

Do you currently hold any franchises? *

Any other notes / comments

Trade Customer Agreement *

• I confirm I am a trade customer, in the relevant industry, and authorised to submit this application on behalf of the applying business

Telephone Business other

Privacy Policy *

• I accept the privacy policy so that my application can be processed

Submit