Wholesale Application Form wholesale formFirst NameLast NameEmail AddressPhone NumberHow Did You Hear About Us Friends Social Media OtherCompany Or Trading Name (Provide Both If Different)Please provide your online website.Are you aware that the importation, exportation, supply and possession of Nitrous Oxide is regulated by the Misuse of Drugs Act 1971 and Misuse of Drugs Regulations 2001? Yes NoAre you aware that there is a risk that the gas inside cream chargers (Nitrous Oxide) could be misused, i.e. inhaled? Yes NoAre you aware that inhalation of nitrous oxide carries the risk of serious health problems including death? Yes NoWho do you supply with cream chargers? (tick all that apply) Wholesale Businesses Retail Businesses Catering / Hospitality Businesses Consumers (private individuals)Do you/your business sell any of the following products? Rubber Ballons Nitrous Oxide ‘Crackers’ (example: https://tinyurl.com/yazv84px) Bongs / Hookah Pipes / Shisha Pipes / Water Pipes Hydroponic Equipment Research Chemicals Smoking Pipes None of the AboveTerms & Conditions I agree to all the terms & conditions placed by https://qihangasgroup.com/Your MessageAPPLY NOW