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Application for a Locker Account

Apply for a credit account with Locker Group Ltd using the on-line form, or download the form using the link below and fax or post it to Locker.

Please enter your details and message below. Entries marked "*" are required - thank you.
Press "Submit" when finished or "Reset" to clear the form without sending.

Company Name*:
Company Address*:
Invoice Address (if different):
Telephone No*:
Fax No:
Contact Name*:
E-mail Address*:
Accounts Contact:
Accounts Tel No:
VAT Reg No*:
Company Reg No*:
1st Trade Reference
Company Name*:
Contact Name*:
2nd Trade Reference  
Company Name*:
Contact Name*:
Bank Details
Bank Name*:
Account Name*:
Sort Code*:
Account No*:
Authorised by*:

If you prefer, the form can be downloaded using the link below, then faxed or posted to Locker.

Apply for new account with The Locker Group (Adobe PDF)

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