Online Order Portal Application Form

NET LED will offer additional trade discounts and access to special offers for registered wholesalers wishing to use our online order portal (www.netlededi.co.uk). (Subject to approval).

Company Information

Contact Name *

Company Name*

Branch Code*

Invoice Address*

Invoice Postcode*

Default Delivery Address*

Delivery Postcode*

Automated Notifications

Contact Name for Order Notifications/Queries:*

Telephone No for Order Notifications/Queries:*

Email Address for Automated Notifications/Queries: (This will be your username)*

Account Type

Expected Annual Spend:*

This form was completed by:

Name:*

Position:*

Date:*

By submitting this application you are agreeing to NET LED Online Terms & Conditions of sale.

If you have any queries regarding your application, please call 01223 851505