Apply for an account

Organisation Name:

Please complete the form below if you would like to become a customer of West Mercia Supplies. Please note that in general WMS can only supply the public sector, educational establishments and associated bodies. For security reasons WMS can not deliver to private addresses.

If you are an existing customer and would like access to the members section of this website please click here. You do not need to complete this form as we already have this data.

Delivery Address: City / Town: County: Postcode: Invoice Name: Invoice Address: City / Town: County: Postcode: Contact Name: Telephone Number: Fax Number: E-mail Address: Password to Access Website: Please Confirm Password: Is the Organisation: A. Local Authority Owned: B. Intending to operate for
a profit?
C. A member of the
Preschool Learning Alliance?
D. A Registered Charity: If you answered Yes to D,
what is your registration No:
Please give a brief description
of your organisation:
Deliveries: Yes Yes Yes Yes No No No No Are you open for deliveries
Monday to Friday, 8.30am
to 4pm?
Are you closed during the
school holidays?
Is access to your property
difficult? If so please give
Please give further details
of your opening times
eg. Closed Wednesdays:
Yes No Yes No Job Title: