Thank you for choosing to register with us. Please complete all the details on this form as this will speed up the process of setting up your account. Once your application has been processed our customer service team will contact you.

Select a Department:  
Business Name:  
Business Address:  
Address Line 2:  
Town:  
Post Code:  
Business Tel:  
Fax:  
e-mail:  
VAT No:  
  Please tick as appropriate:

Sole Trader  
     
Partnership  
     
Limited Co  
     

Co reg No:

Premises? Freehold Leasehold

Director/Owner:  
     
Home Address:  
     
Post code:  
     
Home telephone:  
     
Director/Owner:  
     
Home Address:  
     
Post code:  
     
Home telephone:  
     

Bank Name:  
     
Bank Address:  
     
Post code:  
     
A/C Name  
     
Account Name:  
     
Sort Code:   - -
     

Please tick type of Business Convenience
      Grocers
CTN
Off Licence		 Chemist/Drug
      Store
Restaurants
Caterers		 Delivered -
      Off Licence
Delivered -
      Restaurants
Delivered -
      Convenience		 Delivered -
      Wholesalers
Sundry
Wholesalers		 Exports


Reference Name 1:  
Home Address:  
Postcode:  
Telephone:  
Reference Name 2:  
Home Address:  
Postcode:  
Telephone:  


Comments:        


    
When you come in store to confirm your registration, you will need the following; Copy of company V.A.T certificate, (if not registered for V.A.T, a copy of the company cheque book), two recent purchase invoices and a form of personal identification.