Customer query

If you are one of our customer and have an open account with us, please fill the following form and apply for online ordering account.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Shop Name *

ELC Account Number

Please write your ELC code if you have it.

Email *

Email

Confirm Email

Phone *

ID Card *

Click or drag a file to this area to upload.

Please upload a copy of your ID such as driving license for verification purposes.

Your Message

Submit