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J J Vaillant Ltd is a trade only company. The general public are not permitted to register.

Application to view J J Vaillant Website and Place Orders

Please Only Complete Relevant Sections

Buyer / Contact Information*

First Name

Last Name

Email Address

Mobile / Telephone

2nd Contact Information (If applicable)

First Name

Last Name

Email Address

Mobile

Contact Permission

I agree to receive information on new products, special offers and trade show details. Your details will only be used by ourselves. You can opt out at any time.

Business Address*

Company Name

Telephone

Mobile

Street Address

Street Address 2

City

County

Post Code

Country

Home Address (If No Fixed Business Address)

Street Address

Street Address 2

Suburb

City

County

Post Code

Country

Telephone

Mobile

Additional Company Information

Years Trading

Company Reg. No.

EORI No.

Web Address

Relevant Delivery Information and Restrictions

Facebook URL

Instagram URL

Main Sales Channel

Resale Declaration*

Please tick this box declaring that you will not sell our products on 3rd party websites such as Amazon, eBay, Facebook, Instagram Marketplace or enable other parties to do so.

Terms And Conditions*

I confirm I have read and agree with your Terms and Conditions and Privacy Policy .

Referral Source*

Autumn Fair, Spring Fair, Harrogate Show, Google, Other Search Engine, Advert/Publication, Existing Customer, or (if "Other" please specify)

How did you hear about us

If "Other" please specify

Login Information

Password

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