WMD Logo award image WMD
Unit 7 Grange Road Industrial Estate
Albion Street
Southwick
West Sussex
BN42 4EN
United Kingdom
+44 (0) 1273 595746
Vat No: 625814928
Company No: 2592280
Twitter/WMD_online Facebook/WMDThePartsPeople
Return
 

Please Enter Your Details:

All fields marked with a "*" are mandatory.
*Company Name:
Company Registration No. *VAT number:
eg. GB123456789
EORI:
*Address Line 1: Address Line 2:
*Town/City: *County/State/Province:
*Postal/Zip code: *Country:

Contact Details
*Contact Name: *Business Owner Name:
*Phone:
Business landline		 Alt. Phone:
*E-mail: Your Website:

Additional Info

References must be other motorcycle trade companies you have dealt with in the past.

*Business Type If Other:
Specialisation
eg. Two stroke, Custom, Quads		 Years Operating:
Reference 1 Name Reference 1 Contact:
Reference 2 Name Reference 2 Contact:

Any other relevant information that might be helpful with approval of your account.