Trade Account Registration

 

Please fill in the form below where we will vet your application. If you are successful we will open an account for you where you will be able to log into our website and benefit from our trade discounted prices.

 

Fields marked in bold are required

 

Contact Details

Name or Company Name:
Tel. No.:
Email:
Password:
Re-Type Password:

Company Info

Company Name (Repeat from above if necessary):
Registered Number:
Company Secretary:
Directors:
Trade Reference 1 (Please include phone numbers):
Trade Reference 2 (Please include phone numbers)*:
How did you hear about us?:
What show did you attend?:

Delivery Address

Line 1:
Line 2:
Town:
County:
PostCode:

Billing Addresss

Same as Delivery Address (Untick this box if you wish to use a different billing address)

Email Communications

Allow Affinity Beads to send me email about new products & special offers. We will not pass this information on to third parties nor will we send you spam. We respect your online privacy!