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Online services status
QD67 Form
(Items marked
are required.)
Company name
WL Salesperson
Registration No.
VAT Reg. No.
Invoice Address 1
Invoice Address 2
Invoice Address 3
Invoice Town
Invoice County
Invoice Postcode
Invoice Telephone
Delivery Address 1
Delivery Address 2
Delivery Address 3
Delivery Town
Delivery County
Delivery Postcode
Delivery Telephone
Main Contact
Main Contact Position
Main Contact Telephone
Main Contact Mobile
Main Contact Email
Other Contact
Other Contact Position
Other Contact Telephone
Other Contact Mobile
Other Contact Email
No. of Frames Wk.
No. of Teams
Alternative Supplier
Glazing
Glazed Discount (in %)
Unglazed Discount (in %)
Preferred Delivery Date
Submit your QD67 by clicking the button below.
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website
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