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Drainage Superstore
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01443 841540

All prices exclude VAT

Next-working-day delivery on orders placed before 2pm

New Customer Form

Company Details:

Company name*

Company Registration Number.*

VAT ID*

Contact Name*

Contact Telephone Number.*

Contact Mobile Number

Accounts Details:

Accounts Contact Name*

Accounts Contact Number.*

Accounts Email Address*

Company Address:

Company Address (Street)*

Company Address (Line 2)

Company Address (Town/City)*

Company Postcode*

Delivery Details:

Same As Company Address (If not, please complete below)

Delivery Address

Please upload proof of ID (Photo ID Required)*

** Accepted form of ID are Driving Licence or Passport Only

Optional Questions

How did you find us?

HQ and Drainage Superstore:

Unit 7C1

Hepworth Park

Coedcae Lane

Pontyclun

CF72 9FQ

Hire collection locations:

Dartford
Manchester
Bolton
Birmingham
Durham
Doncaster
South Wales
Ramsbottom
Tilbury

CONTACT US:

T: 01443 841 540

sales@draincamerarepairs.co.uk

service@draincamerarepairs.co.uk

hire@draincamerarepairs.co.uk

IMPORTANT LINKS:

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