New Customer Account Form

If you are interested in becoming a new Blink Medical customer, please fill out the form below with your details.
Please note: Your first order may be subject to a proforma payment.

New Customer Account Form

  • This field is for validation purposes and should be left unchanged.

Please fax a copy of your company letterhead to:
0121 277 4949

Or post to:
Blink Medical Ltd,
Radway Road,
Shirley, Solihull,
B90 4NS

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Contact Us

To contact us via email, please fill out the form below and click "Submit".
All phone and email correspondence are strictly confidential.

You Can Find Us At

Blink Medical Ltd
Radway Road
Shirley
Solihull
B90 4NS

T: +44 121 386 8433
F: +44 (0) 121 277 4949
E: