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New Account Form

This form is used for regerstering an account for the site. Please only fill out this form if you are creating an account for the site.

Company Name *
Company Address
Delivery Address (if different to above)
Company Registration No
Buying Group Member (i.e. Unitas, CRG, Sterling, Fairway etc)
Buyer Contact Name
Buyer E-mail *
Buyer Phone Number *
Finance Contact Name
Finance E-mail (for invoices and statements) *
Finance Phone Number
Estimated first order value
Estimated annual turnover with RHA
Please upload any attachments you think might be relevant to this application
By ticking this box you confirm you have read and accept our Terms and Conditions of Sale Terms & Conditions *