Become a Tercelo Tyres Dealer UK | Wholesale Tyre Stockist

Apply to Become a Dealer

Join our exclusive network of professional tyre retailers.

Step 1 of 10: Company Information

1 Company Information

Company Name *

Trading Name

Company Registration Number *

VAT Number

Date Established *

Business Type *

Registered Address *

Trading Address (if different)

Postcode *

Phone Number *

Mobile Number

Email Address *

Website

2 Business Details

Nature of Business *

Main Products / Services *

Number of Employees

Estimated Monthly Purchases (£) *

Do you require a credit account? *

Yes No

3 Director / Owner Information

Director 1 (Required) *

Full Name *

Position *

Date of Birth *

Phone Number *

Home Address *

Postcode *

Email Address *

Director 2 (Optional)

Full Name

Position

Date of Birth

Phone Number

Home Address

Postcode

Email Address

4 Bank Details

Bank Name *

Account Name *

Account Number *

Sort Code *

Branch

Years with Bank

5 Trade References

Reference 1 *

Company Name *

Contact Name *

Phone Number *

Email Address *

Reference 2 *

Company Name *

Contact Name *

Phone Number *

Email Address *

6 Credit Application

Credit Limit Requested (£) *

Preferred Payment Terms *

Any CCJs, defaults, or insolvency issues? *

No Yes

7 Delivery Information

Delivery Address *

Contact Person *

Contact Number *

Special Delivery Instructions

8 Accounts Contact

Accounts Contact Name *

Accounts Email *

Accounts Phone Number

9 Declaration & Agreement

I confirm that all information provided is accurate and complete. *

I agree to RockRoad Tyre Wholesaler Ltd Terms & Conditions. *

I agree to credit checks being carried out where necessary. *

10 Authorisation

Full Name *

Position *

Digital Signature *

Date *

By submitting this form, you acknowledge that you have read and understood our privacy policy.