Welcome to Five Element Distribution
THE UK's LEADING DISTRIBUTOR OF LICENSED TOYS & MERCHANDISE

Open an Account

By completing and returning this account set up form you automatically accept our terms and conditions of trade.
(You can download this Application Form here.)

Application Form

* These fields are required to be completed before your application can be sent.
Registered Name :
Trading Name :
(if different from above)
Company Registration Number :
VAT number :
Nature of Business :
Business Type :
Delivery / Trading Address :
Telephone number :
Buyer Contact Name :
Telephone number :
Email address :
Accounts Contact Name :
Telephone number :
Email address :
Credit Required ? :
* Applicant Name :
(Your name)
Your Position :
* Your email address :
* Confirm your email address :
Add to Mailing List ? :
 
Confirm read Terms and Conditions :
 
* Please re-type the five verification characters shown on the left into the box below. [ why ? ]
       

Thank you for your account application

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