Submit Account Application

User details V

Company Name*

First Name*

Surname*

Email*

Confirm email*

Telephone*

Mobile

Company details V

Select Company type*

Company number

VAT Number

Website

Where are you intending to sell our products?

Additional information:

Invoicing details V

Do you require a different contact for invoicing?

Yes No

Invoicing Address*

Address Line 1

Address Line 2

Address Line 3

City

County

Postcode

Delivery Information V

Deliveries contact name

Deliveries Phone Number

Delivery address

Use my invoicing address Enter a new delivery address

Can you receive pallet deliveries?

Yes No

Additional Delivery Instructions

Terms and consents V

I agree to the Privacy Policy* I have read and agree to our Terms of Sale* I agree not to resell Product purchased from Distinctive on Amazon or other marketplaces, not in accordance with our Terms of Sale*

Additional information V

Any further information to add?