Dealer Register – Leisure Gaz

If you are interested in becoming a Leisuregaz official retailer, please fill in the form below. This form is NOT for end-users, but for established businesses who already sell camping gas cylinders and related products and wish to add the 007 bottle to their range. Accepted applications will have access to purchase Leisuregaz products and will appear within the retailer listing on this website.

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Name*

First Last

Email*

Phone*

Company Details

Company Name*

Company Status*

Company Reg Number

VAT Reg Number

Address Details

Billing Address

Street Address Address Line 2 City County PostCode

Delivery Quantities

Cylinder Order Quantities*

Delivery Address

Please note: The minimum order for approved stockists is 100 cylinders per order. If you need to buy less than this amount, please talk to one of our existing stockists local to you, and discuss options to buy from them.

Delivery Address

Street Address Address Line 2 City County PostCode

Further Information

Let us know any other information relevant to your application

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