Trade Account– The Lighting Shop NZ

Use the form below to apply for a Trade Account.

Your Contact Details

Name

Email

Type of Business *

Company Details

Legal Name

Trade Name

Physical Address

Address One

Address Two

City

State

PostCode

Country

Postal Address

Postal Address

Postal Address 2

Postal City

Postal State

Postal Code

Postal Country

Telephone

Mobile

Email

Partner/Director #1 Details

Full Name

Address 1

Address 2

City

State

PostCode

Country

Phone

Partner/Director #2 Details

Full Name

Address 1

Address 2

City

State

PostCode

Country

Phone

Expected Monthly Purchases

Expected Monthly Purchases

Trade Reference #1

Name

Phone

Trade Reference #2

Name

Phone

Trade Reference #3

Name

Phone

Contact Us

info@thelightingshop.co.nz

Net Orders Checkout

Item		Price	Qty	Total
		Subtotal	$0.00
		Shipping
		Total

Shipping Address

Shipping Methods