Register Account

Intro paragraph content required for Register Account Page to identify differentiation between general and trade accounts goes in here.

If you already have an account with us, please login at the login page.

Your Personal Details

Customer Group

Default

First Name

Last Name

E-Mail

Telephone

Your Password

Password

Password Confirm

Newsletter

Yes No

Trade Application

Trading As

Address 1

Address 2

Address City

Address County

Address Country

Address Postcode

Date of Birth

Mobile

Telephone Number

Property

Invoice / Billing Details (if different)

Invoice Address 1

Invoice Address 2

Invoice City

Invoice County

Invoice Country

Invoice Postcode

Invoice Telephone

Invoice Mobile

Invoice Telephone

Invoice Purchasing Contact

Invoice email

Business Details

Business Established

How Long At Present Address

Business Company Status

Company Registration

Bank Name

Sort Code

Account Number

Trade Reference 1

Trade Telephone 1

Trade Reference 2

Trade Telephone 2

Previous Express Electrical Account

Yes

Previous Account Branch

Company Annual Electrical Spend

Principle Details (for Sole Trader / Partnership Only)

Principle Name

Principle Address 1

Principle Address 2

Principle City

Principle Postcode

Principle Date of Birth

Principle Telephone

Principle Mobile

Principle Property

Principle Second Name

Principle Second Address 1

Principle Second Address 2

Principle Second City

Principle Second Postcode

Principle Second Date of Birth

Principle Second Telephone

Principle Second Mobile

Principle Second Property

Internal Branch

Internal Rep

Internal Authorised By

Internal Further Information

Internal Date Opened

Internal Account Number

Internal Credit Limit Requested

Internal Credit Limit Granted

Internal Terms Requested

Internal Terms Granted

Add Second Principle Details

This is a legally binding document; We recommend you seek independent legal advice as to your liabilities under this document before agreeing to it.

I have read and agree to Express Electricals Ltd's Terms and Conditions

Register Account

Trusted Brands

Open a Trade Account