Cookie use on this website

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Strictly necessary
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Functional
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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 Registration No *
Company Address (inc Postcode) *
Delivery Address (if different to above) *
Delivery Phone Number *
Delivery email address *
Type of Business? *
Buyer Contact Name *
Buying Group Member (i.e. Unitas, CRG, Sterling, Fairway etc)
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
Would you like to place your orders online? *
Would you be happy to pay by card? *
By signing this document with your full name, you confirm that you have read and agreed to our Terms and Conditions of Sale Terms & Conditions *
Agree Date *