![parallax background](http://brightmedia.fuse-clients.co.uk/wp-content/uploads/2020/05/contact-header.png)
Customer Account Application Form
To enable us to process your request for a credit account with Bright Media Ltd please fill in all fields on this application form. Once we receive the application back, by email, a credit check will be carried out against your company and an account will be set up for you.