Instant 30 Day Account

If you are a Public Sector organisation eg, NHS, Police, Fire, Ambulance, Coast Guard, MOD, School, College or University, HM Prison Service, Local Govt, National Govt, please email a valid Purchase Order direct to info@solarmedchem.co.uk. We will order acknowledge, despatch your goods and email your Invoice. 30 days later you'll receive a Statement. Ordering made simple!

All others applications, please enter your details in the form below and select 'Yes' in the Confirmation area to open the account and we will contact you straight away with your credit account details.

Required fields are marked with an asterisk (*).

Company Details

Please provide the company/organisation details as they appear on official paperwork such as those with Companies House or the Charity Commission.

Company/Organisation Name*

Registered Address*

Delivery Address

Company Registration Number

Charity Number

Company VAT Number

Key Contacts - Accounts/Invoicing

Please provide the details of the accounts contact. This should be for the person responsible for accounts/invoicing.

Full Name*

Email Address*

Invoice Email Address*

Invoice Address*

Key Contacts - Purchasing

Please provide the details of the purchasing contact. This should be for the person responsible for placing orders.

Full Name*

Email Address*

Bank Details

Please provide the company banking details and the desired credit amount.

Desired Credit Amount*

Bank Account Name*

Bank Account Number*

Bank Sort Code*

Trade References

Please provide the contat deatils of 2 references. These can be existing companies you have trade accounts with. Not applicable for local or national government institutions. For example NHS, emergency services, museum, libraries.

First Reference - Name

First Reference - Address

First Reference - Email Address

Second Reference - Name

Second Reference - Address

Second Reference - Email Address

Confirmation

Please acknowledge that you are happy for the contents of this form to be sent to us and that you have read and understood our privacy policy.

Do you agree to submitting the application and confirm that the information provided is accurate, correct and complete?*

Prove You're Human*

Enter the following code:

Please click here to view how we use your personal information.

Free delivery on £50+ orders

Instant 30 day trade account

Instant 30 Day Account

Free delivery on £50+ orders

Instant 30 day trade account

Instant 30 Day Account

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